| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,026.00 | $8,146.00 | $17,958.00 | |
Aetna
| Facility | 52 | $278.94 | $294.20 | $307.92 |
Aetna
| Facility | 53 | $111.58 | $117.68 | $123.17 |
Cigna
| Facility | $7,931.00 | $17,341.00 | $38,010.00 | |
Florida Blue
| Facility | $13,312.00 | $24,073.00 | $46,234.00 | |
United
| Facility | $4,072.00 | $19,732.00 | $35,288.00 |