| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $21,810.11 | $21,810.11 | $21,810.11 | |
HMSA
| Facility | $13,757.00 | $16,075.00 | $18,719.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |