| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $95,584.33 | $95,584.33 | $95,584.33 | |
HMSA
| Facility | $31,813.00 | $37,173.00 | $43,288.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |