| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $43,889.12 | $43,889.12 | $43,889.12 | |
HMSA
| Facility | $23,403.90 | $27,157.00 | $31,624.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |