| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $25,197.76 | $25,197.76 | $25,197.76 | |
HMSA
| Facility | $31,364.00 | $36,648.00 | $42,675.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |