| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,184.67 | $7,917.00 | $18,125.52 | |
Aetna
| Facility | 50 | $14,955.56 | $14,955.56 | $14,955.56 |
Cigna
| Facility | $4,764.24 | $11,061.00 | $26,709.00 | |
Florida Blue
| Facility | $5,979.00 | $12,759.00 | $23,031.00 | |
United
| Facility | $3,320.00 | $10,309.00 | $15,888.00 |