| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $110,766.78 | $110,766.78 | $110,766.78 | |
HMSA
| Facility | $45,690.00 | $53,387.00 | $62,169.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |