| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $20,515.68 | $20,515.68 | $20,515.68 | |
HMSA
| Facility | $13,082.00 | $15,286.00 | $17,800.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |