| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $825.00 | $4,720.00 | $11,550.00 | |
Aetna
| Facility | 52 | $112.06 | $119.73 | $125.48 |
Cigna
| Facility | $294.83 | $861.35 | $3,559.00 | |
Cigna
| Facility | 52 | $230.55 | $230.55 | $230.55 |
Florida Blue
| Facility | $2,979.00 | $5,611.00 | $11,030.00 | |
United
| Facility | $573.00 | $3,514.00 | $7,044.00 |