| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $26,758.45 | $26,758.45 | $26,758.45 | |
HMSA
| Facility | $18,174.00 | $21,236.00 | $24,729.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |