| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $41,329.28 | $41,329.28 | $41,329.28 | |
HMSA
| Facility | $10,132.00 | $11,839.00 | $13,786.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |