| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $139,560.45 | $139,560.45 | $139,560.45 | |
HMSA
| Facility | $203,804.00 | $238,141.00 | $277,310.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |