| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $27,910.51 | $27,910.51 | $27,910.51 | |
HMSA
| Facility | $11,091.00 | $12,960.00 | $15,092.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |