| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $172,714.56 | $172,714.56 | $172,714.56 | |
HMSA
| Facility | $50,587.00 | $59,110.00 | $68,832.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |