| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $18,852.18 | $18,852.18 | $18,852.18 | |
HMSA
| Facility | $11,439.00 | $13,366.00 | $15,564.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |