| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $51,729.48 | $51,729.48 | $51,729.48 | |
HMSA
| Facility | $19,778.00 | $23,110.00 | $26,912.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |