| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $59,016.21 | $59,016.21 | $59,016.21 | |
HMSA
| Facility | $63,575.00 | $74,286.00 | $86,505.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |