| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $48,078.20 | $48,078.20 | $48,078.20 | |
HMSA
| Facility | $84,026.00 | $98,182.00 | $114,331.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |