| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $113.71 | $3,401.00 | $10,802.00 | |
Cigna
| Facility | $432.00 | $432.00 | $432.00 | |
Florida Blue
| Facility | $963.50 | $1,027.73 | $1,111.23 | |
United
| Facility | $366.00 | $1,950.00 | $4,970.00 |