| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,934.00 | $4,934.00 | $4,934.00 | |
Cigna
| Facility | $27,947.42 | $27,947.42 | $27,947.42 | |
HMSA
| Facility | $16,627.00 | $18,552.00 | $21,603.00 | |
United
| Facility | $3,775.00 | $4,899.00 | $5,700.00 |