| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $549.54 | $1,348.96 | $5,248.07 | |
Aetna
| Professional | $489.78 | $575.44 | $676.08 | |
Cigna
| Professional | $812.83 | $851.14 | $1,023.29 | |
Hometown Health
| Professional | $158.49 | $158.49 | $173.78 | |
United
| Facility | $478.63 | $478.63 | $478.63 | |
United
| Professional | $295.12 | $416.87 | $912.01 |