| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $147.91 | $575.44 | $1,348.96 | |
Aetna
| Professional | $123.03 | $144.54 | $186.21 | |
Cigna
| Facility | $117.49 | $173.78 | $1,000.00 | |
Cigna
| Professional | $102.33 | $281.84 | $1,202.26 | |
Florida Blue
| Professional | $147.91 | $147.91 | $223.87 | |
United
| Facility | $81.28 | $123.03 | $245.47 | |
United
| Professional | $72.44 | $93.33 | $204.17 | |
Wellpoint
| Professional | $147.91 | $147.91 | $245.47 |