| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $55,591.66 | $55,591.66 | $55,591.66 | |
HMSA
| Facility | $44,380.00 | $51,857.00 | $60,386.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |