| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $26,637.18 | $26,637.18 | $26,637.18 | |
HMSA
| Facility | $42,405.00 | $49,549.00 | $57,699.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |