| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $201,550.41 | $201,550.41 | $201,550.41 | |
HMSA
| Facility | $105,799.00 | $123,623.00 | $143,957.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |