| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
Cigna
| Facility | $177,451.99 | $177,451.99 | $177,451.99 | |
HMSA
| Facility | $186,835.00 | $218,312.00 | $254,220.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |