| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $17,747.57 | $17,747.57 | $17,747.57 | |
HMSA
| Facility | $11,701.00 | $13,673.00 | $15,922.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |