| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $83,030.27 | $83,030.27 | $83,030.27 | |
HMSA
| Facility | $93,621.00 | $109,394.00 | $127,387.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |