| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $18,989.27 | $18,989.27 | $18,989.27 | |
HMSA
| Facility | $20,699.00 | $24,186.00 | $28,164.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |