| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $24,667.86 | $24,667.86 | $24,667.86 | |
HMSA
| Facility | $15,220.00 | $17,784.00 | $20,709.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |