| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $57,500.34 | $57,500.34 | $57,500.34 | |
HMSA
| Facility | $43,854.00 | $48,931.00 | $56,979.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |