| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $28,414.04 | $28,414.04 | $28,414.04 | |
HMSA
| Facility | $4,308.00 | $5,034.00 | $5,862.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |