| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.55 | $72.70 | $203.51 | |
Aetna
| Professional | $28.20 | $31.96 | $42.30 | |
Cigna
| Facility | $23.60 | $33.04 | $177.12 | |
Cigna
| Professional | $57.35 | $57.35 | $68.70 | |
Florida Blue
| Professional | $28.20 | $28.20 | $39.95 | |
United
| Facility | $70.50 | $70.50 | $70.50 | |
United
| Professional | $16.45 | $19.73 | $73.64 | |
Wellpoint
| Professional | $28.20 | $28.20 | $28.20 |