| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $27,174.98 | $27,174.98 | $27,174.98 | |
HMSA
| Facility | $18,554.00 | $21,680.00 | $25,245.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |