| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $54,935.22 | $54,935.22 | $54,935.22 | |
HMSA
| Facility | $43,118.00 | $50,382.00 | $58,669.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |