| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $34,155.90 | $34,155.90 | $34,155.90 | |
HMSA
| Facility | $21,463.00 | $25,080.00 | $29,205.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |