| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $58,336.05 | $58,336.05 | $58,336.05 | |
HMSA
| Facility | $28,360.00 | $33,138.00 | $38,588.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |