| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $28,980.85 | $28,980.85 | $28,980.85 | |
HMSA
| Facility | $14,428.00 | $16,858.00 | $19,631.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |