| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $60,149.82 | $60,149.82 | $60,149.82 | |
HMSA
| Facility | $9,237.00 | $10,306.00 | $12,002.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |