| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $34,880.89 | $34,880.89 | $34,880.89 | |
HMSA
| Facility | $13,222.00 | $15,449.00 | $17,991.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |