| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $46,506.97 | $46,506.97 | $46,506.97 | |
HMSA
| Facility | $15,230.00 | $17,796.00 | $20,724.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |