| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $22,925.26 | $22,925.26 | $22,925.26 | |
HMSA
| Facility | $18,971.00 | $22,167.00 | $25,813.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |