| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $52,588.91 | $52,588.91 | $52,588.91 | |
HMSA
| Facility | $38,271.00 | $44,719.00 | $52,075.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |