| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $20,241.50 | $20,241.50 | $20,241.50 | |
HMSA
| Facility | $6,684.00 | $7,811.00 | $9,095.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |