| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $39,043.60 | $39,043.60 | $39,043.60 | |
HMSA
| Facility | $24,928.00 | $29,127.00 | $33,918.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |