| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $17,259.86 | $17,259.86 | $17,259.86 | |
HMSA
| Facility | $7,975.00 | $9,318.00 | $10,851.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |