| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $89,940.01 | $89,940.01 | $89,940.01 | |
HMSA
| Facility | $59,148.00 | $69,114.00 | $80,481.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |