| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $22,669.54 | $22,669.54 | $22,669.54 | |
HMSA
| Facility | $8,997.00 | $10,039.00 | $11,691.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |