| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $61,307.16 | $61,307.16 | $61,307.16 | |
HMSA
| Facility | $48,219.00 | $56,343.00 | $65,610.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |