| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $66,985.75 | $66,985.75 | $66,985.75 | |
HMSA
| Facility | $39,684.00 | $46,369.00 | $53,996.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |