| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $65,425.06 | $65,425.06 | $65,425.06 | |
HMSA
| Facility | $33,270.00 | $38,875.00 | $45,269.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |