| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $42,998.05 | $42,998.05 | $42,998.05 | |
HMSA
| Facility | $29,055.00 | $33,950.00 | $39,534.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |