| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $369.01 | $4,109.00 | $11,576.00 | |
Cigna
| Facility | $432.00 | $2,213.00 | $3,252.28 | |
Florida Blue
| Facility | $4,672.00 | $12,190.00 | $22,833.00 | |
United
| Facility | $1,301.00 | $5,675.00 | $9,772.00 |