| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $29,162.75 | $29,162.75 | $29,162.75 | |
HMSA
| Facility | $13,242.00 | $15,473.00 | $18,018.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |