| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $31,274.43 | $31,274.43 | $31,274.43 | |
HMSA
| Facility | $19,137.00 | $22,361.00 | $26,039.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |