| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,129.00 | $1,129.00 | $1,129.00 | |
Cigna
| Facility | $156,688.49 | $156,688.49 | $156,688.49 | |
HMSA
| Facility | $225,987.00 | $264,061.00 | $307,493.00 | |
United
| Facility | $3,200.00 | $3,200.00 | $3,775.00 |