| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $27,022.08 | $27,022.08 | $27,022.08 | |
HMSA
| Facility | $16,116.00 | $18,831.00 | $21,929.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |