| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $95,217.88 | $95,217.88 | $95,217.88 | |
HMSA
| Facility | $31,205.00 | $36,462.00 | $42,460.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |