| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,129.00 | $1,129.00 | $1,129.00 | |
Cigna
| Facility | $5,267.33 | $5,267.33 | $5,267.33 | |
HMSA
| Facility | $2,232.00 | $2,608.00 | $3,037.00 | |
United
| Facility | $750.00 | $750.00 | $750.00 |