| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,148.15 | $4,897.79 | $10,964.78 | |
Cigna
| Facility | $691.83 | $1,584.89 | $2,511.89 | |
Cigna
| Facility | AS | $151.36 | $151.36 | $151.36 |
Florida Blue
| Facility | $6,165.95 | $12,022.64 | $22,908.68 | |
United
| Facility | $2,630.27 | $7,585.78 | $12,022.64 |