| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $55,908.01 | $55,908.01 | $55,908.01 | |
HMSA
| Facility | $33,656.00 | $39,326.00 | $45,794.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |