| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.03 | $467.74 | $933.25 | |
Aetna
| Professional | $102.33 | $120.23 | $162.18 | |
Cigna
| Facility | $95.50 | $128.82 | $707.95 | |
Cigna
| Professional | $147.91 | $208.93 | $263.03 | |
Florida Blue
| Professional | $104.71 | $104.71 | $154.88 | |
United
| Facility | $66.07 | $104.71 | $173.78 | |
United
| Professional | $60.26 | $72.44 | $173.78 | |
Wellpoint
| Professional | $104.71 | $104.71 | $173.78 |