| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $167.00 | $261.08 | $1,190.01 | |
Aetna
| Professional | $164.90 | $186.88 | $247.35 | |
Cigna
| Facility | $138.02 | $193.24 | $1,033.35 | |
Cigna
| Professional | $334.90 | $334.90 | $401.25 | |
Florida Blue
| Professional | $164.90 | $164.90 | $233.61 | |
United
| Professional | $96.19 | $115.43 | $430.62 | |
Wellpoint
| Professional | $164.90 | $164.90 | $164.90 |