| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $31,364.06 | $31,364.06 | $31,364.06 | |
HMSA
| Facility | $14,638.00 | $17,104.00 | $19,918.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |