| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $85,376.58 | $85,376.58 | $85,376.58 | |
HMSA
| Facility | $38,904.00 | $45,458.00 | $52,935.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |