| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $73.30 | $118.75 | $285.24 |
Aetna
| Professional | 26 | $90.10 | $118.75 | $200.00 |
Cigna
| Facility | 26 | $99.80 | $99.80 | $99.80 |
Cigna
| Professional | 26 | $61.18 | $99.61 | $162.47 |
Florida Blue
| Professional | 26 | $58.30 | $63.74 | $126.53 |
United
| Professional | 26 | $71.95 | $84.78 | $166.23 |
Wellpoint
| Professional | 26 | $64.83 | $64.83 | $64.83 |