| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $37,562.00 | $37,562.00 | $37,562.00 | |
HMSA
| Facility | $10,930.00 | $12,772.00 | $14,873.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |