| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,486.14 | $6,024.00 | $12,514.00 | |
Cigna
| Facility | $400.00 | $510.00 | $6,763.00 | |
Cigna
| Facility | AS | $196.33 | $196.33 | $196.33 |
Florida Blue
| Facility | $6,600.00 | $19,859.00 | $31,911.00 | |
United
| Facility | $573.00 | $4,414.00 | $9,150.00 |