| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.85 | $3,403.00 | $11,550.00 | |
Cigna
| Facility | $494.00 | $494.00 | $494.00 | |
Florida Blue
| Facility | $2,607.11 | $2,780.91 | $3,006.86 | |
United
| Facility | $366.00 | $1,950.00 | $5,107.00 |