| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $28,211.05 | $28,211.05 | $28,211.05 | |
HMSA
| Facility | $24,969.00 | $29,175.00 | $33,974.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |