| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $33,436.19 | $33,436.19 | $33,436.19 | |
HMSA
| Facility | $14,053.00 | $16,421.00 | $19,122.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |