| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $16,661.41 | $16,661.41 | $16,661.41 | |
HMSA
| Facility | $9,704.00 | $11,338.00 | $13,203.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |