| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $23,795.24 | $23,795.24 | $23,795.24 | |
HMSA
| Facility | $16,304.00 | $19,051.00 | $22,185.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |