| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $39,106.87 | $39,106.87 | $39,106.87 | |
HMSA
| Facility | $54,060.00 | $63,168.00 | $73,558.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |