| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $3,388.44 | $12,589.25 | |
Cigna
| Facility | $436.52 | $4,570.88 | $5,495.41 | |
Cigna
| Facility | AS | $109.65 | $109.65 | $109.65 |
Florida Blue
| Facility | $6,165.95 | $12,022.64 | $22,908.68 | |
United
| Facility | $2,630.27 | $7,762.47 | $12,022.64 |