| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $40,211.48 | $40,211.48 | $40,211.48 | |
HMSA
| Facility | $26,811.00 | $31,328.00 | $36,480.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |