| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $44,540.29 | $44,540.29 | $44,540.29 | |
HMSA
| Facility | $48,158.00 | $56,272.00 | $65,527.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |