| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $119,395.39 | $119,395.39 | $119,395.39 | |
HMSA
| Facility | $36,332.00 | $42,453.00 | $49,435.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |