| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $27,101.16 | $27,101.16 | $27,101.16 | |
HMSA
| Facility | $27,323.00 | $31,927.00 | $37,178.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |