| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $101,792.82 | $101,792.82 | $101,792.82 | |
HMSA
| Facility | $54,882.00 | $64,128.00 | $74,676.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |