| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $42,288.89 | $42,288.89 | $42,288.89 | |
HMSA
| Facility | $27,802.00 | $32,487.00 | $37,830.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |