| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $38,808.97 | $38,808.97 | $38,808.97 | |
HMSA
| Facility | $14,880.00 | $17,387.00 | $20,246.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |