| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $35,445.05 | $35,445.05 | $35,445.05 | |
HMSA
| Facility | $10,418.00 | $12,173.00 | $14,176.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |