| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $18,042.84 | $18,042.84 | $18,042.84 | |
HMSA
| Facility | $28,590.00 | $33,407.00 | $38,902.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |