| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $56,382.55 | $56,382.55 | $56,382.55 | |
HMSA
| Facility | $46,481.00 | $54,312.00 | $63,245.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |