| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $112,446.10 | $112,446.10 | $112,446.10 | |
HMSA
| Facility | $53,385.00 | $59,567.00 | $69,364.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |