| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $363.00 | $410.00 | $543.00 | |
Ambetter
| Facility | $703.31 | $703.31 | $703.31 | |
Cigna
| Facility | $4,563.00 | $4,563.00 | $4,563.00 | |
Florida Blue
| Facility | $55.17 | $76.95 | $161.24 |