| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $67,689.64 | $67,689.64 | $67,689.64 | |
HMSA
| Facility | $27,464.00 | $32,091.00 | $37,369.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |