| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,598.00 | $2,598.00 | $2,598.00 | |
Cigna
| Facility | $2,702.00 | $2,702.00 | $2,702.00 | |
HMSA
| Facility | $8,319.00 | $9,720.00 | $11,319.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |