| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $25,021.12 | $25,021.12 | $25,021.12 | |
HMSA
| Facility | $28,584.00 | $33,400.00 | $38,893.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |