| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $94,139.64 | $94,139.64 | $94,139.64 | |
HMSA
| Facility | $50,205.00 | $58,663.00 | $68,312.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |