| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $98,536.99 | $98,536.99 | $98,536.99 | |
HMSA
| Facility | $52,763.00 | $61,652.00 | $71,793.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |