| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $20,716.05 | $20,716.05 | $20,716.05 | |
HMSA
| Facility | $7,582.00 | $8,860.00 | $10,317.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |