| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $20,734.50 | $20,734.50 | $20,734.50 | |
HMSA
| Facility | $15,689.00 | $18,332.00 | $21,347.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |