| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $371.54 | $3,311.31 | $9,772.37 | |
Cigna
| Facility | $34.67 | $323.59 | $676.08 | |
Cigna
| Facility | 22 | $812.83 | $812.83 | $812.83 |
Cigna
| Facility | 62 | $416.87 | $416.87 | $416.87 |
Cigna
| Facility | AS | $67.61 | $67.61 | $67.61 |
Florida Blue
| Facility | $1,348.96 | $2,630.27 | $6,309.57 | |
United
| Facility | $3,311.31 | $10,232.93 | $15,848.93 |