| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,129.00 | $1,129.00 | $1,129.00 | |
Cigna
| Facility | $38,909.15 | $38,909.15 | $38,909.15 | |
HMSA
| Facility | $3,342.00 | $3,906.00 | $4,548.00 | |
United
| Facility | $1,850.00 | $1,850.00 | $3,775.00 |