| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $26,075.64 | $26,075.64 | $26,075.64 | |
HMSA
| Facility | $22,904.00 | $26,763.00 | $31,165.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |