| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $18,981.36 | $18,981.36 | $18,981.36 | |
HMSA
| Facility | $9,512.00 | $11,114.00 | $12,942.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |