| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $103,129.42 | $103,129.42 | $103,129.42 | |
HMSA
| Facility | $83,023.00 | $97,010.00 | $112,967.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |