| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $92,781.94 | $92,781.94 | $92,781.94 | |
HMSA
| Facility | $42,647.00 | $49,832.00 | $58,029.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |