| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,276.00 | $3,276.00 | $29,981.00 | |
Cigna
| Facility | $26,715.00 | $31,180.00 | $76,120.53 | |
HMSA
| Facility | $42,975.00 | $50,215.00 | $58,475.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $21,928.00 |