| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $43,614.95 | $43,614.95 | $43,614.95 | |
HMSA
| Facility | $18,204.00 | $21,271.00 | $24,770.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |