| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $91,516.52 | $91,516.52 | $91,516.52 | |
HMSA
| Facility | $47,980.00 | $56,063.00 | $65,284.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |