| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $56,176.92 | $56,176.92 | $56,176.92 | |
HMSA
| Facility | $44,469.00 | $51,961.00 | $60,508.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |