| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $24.38 | $118.75 | $118.75 |
Aetna
| Professional | 26 | $90.00 | $118.75 | $200.00 |
Cigna
| Facility | 26 | $32.90 | $32.90 | $32.90 |
Cigna
| Professional | 26 | $20.32 | $33.08 | $54.55 |
Florida Blue
| Professional | 26 | $19.39 | $21.23 | $42.23 |
United
| Professional | 26 | $24.06 | $28.21 | $53.15 |
Wellpoint
| Professional | 26 | $21.79 | $21.79 | $21.79 |