| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $41,542.82 | $41,542.82 | $41,542.82 | |
HMSA
| Facility | $11,609.00 | $13,565.00 | $15,796.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |