| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $23,895.42 | $23,895.42 | $23,895.42 | |
HMSA
| Facility | $10,427.00 | $12,184.00 | $14,188.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |