| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $14,657.83 | $14,657.83 | $14,657.83 | |
HMSA
| Facility | $9,493.00 | $11,092.00 | $12,917.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |