| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $41,856.54 | $41,856.54 | $41,856.54 | |
HMSA
| Facility | $37,587.00 | $43,919.00 | $51,143.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |