| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,129.00 | $1,129.00 | $1,129.00 | |
Cigna
| Facility | $64,568.26 | $64,568.26 | $64,568.26 | |
HMSA
| Facility | $10,233.00 | $11,957.00 | $13,924.00 | |
United
| Facility | $1,850.00 | $1,850.00 | $3,775.00 |