| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $154,713.90 | $154,713.90 | $154,713.90 | |
HMSA
| Facility | $80,766.00 | $94,373.00 | $109,895.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |