| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $47,313.68 | $47,313.68 | $47,313.68 | |
HMSA
| Facility | $26,524.00 | $30,993.00 | $36,090.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |