| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $36,889.75 | $36,889.75 | $36,889.75 | |
HMSA
| Facility | $47,401.00 | $55,387.00 | $64,497.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |