| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.94 | $38.22 | $127.97 | |
Aetna
| Professional | $24.00 | $40.19 | $50.96 | |
Cigna
| Facility | $45.48 | $45.48 | $45.48 | |
Cigna
| Professional | $190.20 | $190.20 | $190.20 | |
Florida Blue
| Professional | $31.27 | $41.17 | $54.72 | |
Molina
| Professional | $50.00 | $50.00 | $77.34 | |
United
| Facility | $87.71 | $87.71 | $87.71 | |
United
| Professional | $23.65 | $31.53 | $69.26 | |
Wellpoint
| Professional | $97.04 | $97.04 | $97.04 |