| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $34,843.98 | $34,843.98 | $34,843.98 | |
HMSA
| Facility | $38,258.00 | $44,704.00 | $52,057.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |