| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $26,879.71 | $26,879.71 | $26,879.71 | |
HMSA
| Facility | $19,667.00 | $22,981.00 | $26,761.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |