| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $47,556.22 | $47,556.22 | $47,556.22 | |
HMSA
| Facility | $29,550.00 | $34,528.00 | $40,207.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |