| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $45,067.55 | $45,067.55 | $45,067.55 | |
HMSA
| Facility | $16,763.00 | $19,587.00 | $22,809.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |