| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $41,086.74 | $41,086.74 | $41,086.74 | |
HMSA
| Facility | $23,429.00 | $27,376.00 | $31,879.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |