| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $110,002.25 | $110,002.25 | $110,002.25 | |
HMSA
| Facility | $114,068.00 | $133,286.00 | $155,208.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |