| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.18 | $41.97 | $44.45 | |
Aetna
| Professional | $25.18 | $41.97 | $53.45 | |
Cigna
| Facility | $57.18 | $67.79 | $76.54 | |
Florida Blue
| Professional | $56.55 | $77.43 | $83.22 | |
Molina
| Professional | $40.00 | $40.00 | $120.38 | |
United
| Professional | $36.69 | $52.26 | $107.21 | |
Wellpoint
| Professional | $71.20 | $71.20 | $71.20 |