| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,129.00 | $1,129.00 | $1,129.00 | |
Cigna
| Facility | $47,511.40 | $47,511.40 | $47,511.40 | |
HMSA
| Facility | $53,526.00 | $62,544.00 | $72,831.00 | |
United
| Facility | $1,850.00 | $1,850.00 | $3,775.00 |