| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $182,215.78 | $182,215.78 | $182,215.78 | |
HMSA
| Facility | $151,793.00 | $177,367.00 | $206,541.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |