| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,047.13 | $5,495.41 | $12,022.64 | |
Cigna
| Facility | $34.67 | $398.11 | $1,621.81 | |
Cigna
| Facility | AS | $162.18 | $162.18 | $162.18 |
Florida Blue
| Facility | $6,165.95 | $12,022.64 | $22,908.68 | |
United
| Facility | $4,365.16 | $12,302.69 | $18,620.87 |