| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $131,482.82 | $131,482.82 | $131,482.82 | |
HMSA
| Facility | $105,222.00 | $122,950.00 | $143,172.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |