| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $621.00 | $4,790.00 | $11,576.00 | |
Cigna
| Facility | $400.00 | $19,890.00 | $58,053.00 | |
Florida Blue
| Facility | $4,169.00 | $8,416.00 | $15,897.00 | |
United
| Facility | $539.00 | $3,117.00 | $12,394.00 |