| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $43,179.96 | $43,179.96 | $43,179.96 | |
HMSA
| Facility | $28,329.00 | $33,101.00 | $38,546.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |