| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,290.87 | $2,398.83 | $2,884.03 | |
Hometown Health
| Professional | $457.09 | $512.86 | $512.86 | |
Hometown Health
| Professional | $512.86 | $512.86 | $512.86 | |
United
| Professional | $1,621.81 | $2,041.74 | $3,019.95 |