| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $19,461.16 | $19,461.16 | $19,461.16 | |
HMSA
| Facility | $8,768.00 | $10,245.00 | $11,930.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |