| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $173,344.63 | $173,344.63 | $173,344.63 | |
HMSA
| Facility | $160,673.00 | $187,743.00 | $218,623.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |