| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $30,233.09 | $30,233.09 | $30,233.09 | |
HMSA
| Facility | $8,109.00 | $9,476.00 | $11,034.00 | |
United
| Facility | $1,689.00 | $1,689.00 | $3,775.00 |