| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $44,917.28 | $44,917.28 | $44,917.28 | |
HMSA
| Facility | $30,795.00 | $35,983.00 | $41,902.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |