| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $125,508.97 | $125,508.97 | $125,508.97 | |
HMSA
| Facility | $70,003.00 | $78,108.00 | $90,955.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |