| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $48,078.20 | $48,078.20 | $48,078.20 | |
HMSA
| Facility | $17,900.00 | $20,916.00 | $24,356.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |