| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $55,030.13 | $55,030.13 | $55,030.13 | |
HMSA
| Facility | $48,169.00 | $56,284.00 | $65,542.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |