| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $524.81 | $549.54 | $660.69 | |
Hometown Health
| Professional | $102.33 | $102.33 | $112.20 | |
United
| Facility | $309.03 | $309.03 | $309.03 | |
United
| Professional | $190.55 | $446.68 | $676.08 |