| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $19,904.07 | $19,904.07 | $19,904.07 | |
HMSA
| Facility | $27,657.00 | $32,316.00 | $37,631.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |