| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $41,197.46 | $41,197.46 | $41,197.46 | |
HMSA
| Facility | $35,015.00 | $40,914.00 | $47,643.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |