| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $43,008.60 | $43,008.60 | $43,008.60 | |
HMSA
| Facility | $64,583.00 | $75,464.00 | $87,876.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |