| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $28,052.87 | $28,052.87 | $28,052.87 | |
HMSA
| Facility | $16,420.00 | $19,187.00 | $22,343.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |