| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $65,693.96 | $65,693.96 | $65,693.96 | |
HMSA
| Facility | $30,841.00 | $36,037.00 | $41,964.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |