| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $69.92 | $118.75 | $287.18 |
Aetna
| Professional | 26 | $90.00 | $118.75 | $163.96 |
Cigna
| Facility | 26 | $95.81 | $95.81 | $95.81 |
Cigna
| Professional | 26 | $58.59 | $99.31 | $160.16 |
Florida Blue
| Professional | 26 | $55.61 | $63.56 | $136.13 |
United
| Professional | 26 | $70.78 | $88.78 | $203.79 |
Wellpoint
| Professional | 26 | $53.78 | $53.78 | $53.78 |