| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $714.00 | $4,523.00 | $11,576.00 | |
Cigna
| Facility | $209.81 | $1,869.74 | $3,559.00 | |
Florida Blue
| Facility | $4,645.00 | $12,106.00 | $22,833.00 | |
United
| Facility | $573.00 | $3,514.00 | $7,044.00 |