| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $668.00 | $4,349.03 | $9,639.00 | |
Aetna
| Facility | 52 | $103.39 | $114.60 | $486.03 |
Cigna
| Facility | $323.00 | $1,605.10 | $1,910.83 | |
Florida Blue
| Facility | $5,979.00 | $12,759.00 | $23,031.00 | |
United
| Facility | $1,681.00 | $5,811.00 | $10,057.00 |