| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $27,048.44 | $27,048.44 | $27,048.44 | |
HMSA
| Facility | $22,103.10 | $25,484.00 | $29,676.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |