| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $31,888.68 | $31,888.68 | $31,888.68 | |
HMSA
| Facility | $45,394.00 | $53,042.00 | $61,767.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |