| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $48,552.74 | $48,552.74 | $48,552.74 | |
HMSA
| Facility | $47,676.00 | $55,708.00 | $64,871.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |