| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $68,427.80 | $68,427.80 | $68,427.80 | |
HMSA
| Facility | $56,122.00 | $65,578.00 | $76,364.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |