| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $24,367.32 | $24,367.32 | $24,367.32 | |
HMSA
| Facility | $23,664.00 | $27,651.00 | $32,199.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |