| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $95,386.61 | $95,386.61 | $95,386.61 | |
HMSA
| Facility | $64,236.00 | $75,058.00 | $87,404.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |