| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $21,013.95 | $21,013.95 | $21,013.95 | |
HMSA
| Facility | $29,377.00 | $34,326.00 | $39,972.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |