| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $40,446.11 | $40,446.11 | $40,446.11 | |
HMSA
| Facility | $23,381.00 | $27,321.00 | $31,814.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |