| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $121,177.53 | $121,177.53 | $121,177.53 | |
HMSA
| Facility | $66,942.00 | $78,220.00 | $91,086.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |