| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $43,042.87 | $43,042.87 | $43,042.87 | |
HMSA
| Facility | $21,628.00 | $25,272.00 | $29,428.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |