| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $16,619.24 | $16,619.24 | $16,619.24 | |
HMSA
| Facility | $13,607.00 | $15,900.00 | $18,515.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |