| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.00 | $4,729.00 | $11,576.00 | |
Cigna
| Facility | $486.62 | $5,265.00 | $22,503.00 | |
Florida Blue
| Facility | $4,672.00 | $12,190.00 | $22,833.00 | |
United
| Facility | $1,301.00 | $5,700.00 | $9,838.00 |