| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.01 | $213.99 | $673.54 | |
Aetna
| Professional | $95.59 | $119.27 | $157.86 | |
Cigna
| Facility | $88.10 | $123.32 | $660.04 | |
Cigna
| Professional | $87.30 | $145.97 | $307.77 | |
Florida Blue
| Professional | $105.24 | $105.24 | $153.31 | |
United
| Facility | $63.14 | $105.24 | $157.86 | |
United
| Professional | $61.39 | $73.67 | $274.83 | |
Wellpoint
| Professional | $175.40 | $175.40 | $175.40 |