| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $36,496.94 | $36,496.94 | $36,496.94 | |
HMSA
| Facility | $67,139.00 | $78,451.00 | $91,354.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |