| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,897.79 | $4,897.79 | $4,897.79 | |
Aetna
| Professional | $75.86 | $338.84 | $338.84 | |
Cigna
| Professional | $72.44 | $72.44 | $87.10 | |
Florida Blue
| Professional | $38.02 | $69.18 | $77.62 | |
Molina
| Professional | $50.12 | $50.12 | $50.12 | |
United
| Professional | $85.11 | $102.33 | $218.78 | |
Wellpoint
| Professional | $97.72 | $97.72 | $97.72 |