| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $714.00 | $3,497.20 | $10,086.00 | |
Aetna
| Facility | 50 | $4,124.39 | $4,124.39 | $12,734.06 |
Cigna
| Facility | $323.00 | $1,649.96 | $1,964.23 | |
Florida Blue
| Facility | $5,571.00 | $12,685.00 | $23,031.00 | |
United
| Facility | $1,681.00 | $5,811.00 | $10,057.00 |