| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $562,863.23 | $562,863.23 | $562,863.23 | |
HMSA
| Facility | $317,824.00 | $371,371.00 | $432,453.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |