| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $82,835.17 | $82,835.17 | $82,835.17 | |
HMSA
| Facility | $19,191.00 | $22,424.00 | $26,113.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |