| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $151,067.90 | $151,067.90 | $151,067.90 | |
HMSA
| Facility | $87,135.00 | $101,816.00 | $118,562.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |