| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $158,396.81 | $158,396.81 | $158,396.81 | |
HMSA
| Facility | $71,491.00 | $83,535.00 | $97,275.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |