| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $18,973.45 | $18,973.45 | $18,973.45 | |
HMSA
| Facility | $15,002.00 | $17,529.00 | $20,412.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |