| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $26,969.35 | $26,969.35 | $26,969.35 | |
HMSA
| Facility | $17,359.00 | $20,284.00 | $23,620.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |