| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,019.95 | $3,162.28 | $3,801.89 | |
Hometown Health
| Professional | $562.34 | $630.96 | $630.96 | |
Hometown Health
| Professional | $630.96 | $630.96 | $630.96 | |
United
| Professional | $1,995.26 | $2,511.89 | $3,235.94 |