| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $794.33 | $3,388.44 | $9,332.54 | |
Cigna
| Facility | $34.67 | $8,912.51 | $9,332.54 | |
Cigna
| Facility | AS | $151.36 | $151.36 | $151.36 |
Florida Blue
| Facility | $6,165.95 | $12,022.64 | $22,908.68 | |
United
| Facility | $4,365.16 | $12,882.50 | $20,417.38 |