| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $11,997.80 | $11,997.80 | $11,997.80 | |
HMSA
| Facility | $37,131.00 | $43,387.00 | $50,524.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |