| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $504.39 | $798.62 | $3,640.01 | |
Aetna
| Professional | $504.39 | $546.41 | $605.27 | |
Cigna
| Facility | $422.20 | $591.08 | $3,161.20 | |
Cigna
| Professional | $840.65 | $1,024.65 | $1,280.81 | |
Florida Blue
| Professional | $477.45 | $504.39 | $996.09 | |
Molina
| Professional | $70.00 | $70.00 | $70.00 | |
United
| Facility | $302.63 | $504.39 | $756.59 | |
United
| Professional | $294.23 | $353.07 | $1,094.14 | |
Wellpoint
| Professional | $435.46 | $504.39 | $504.39 |