| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $789.00 | $4,417.38 | $9,249.48 | |
Aetna
| Facility | 52 | $99.35 | $105.98 | $126.03 |
Cigna
| Facility | $260.75 | $861.35 | $2,213.00 | |
Cigna
| Facility | 52 | $204.01 | $204.01 | $204.01 |
Florida Blue
| Facility | $2,979.00 | $5,611.00 | $11,030.00 | |
United
| Facility | $573.00 | $3,514.00 | $7,044.00 |