| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.10 | $317.86 | $667.13 | |
Aetna
| Professional | $23.35 | $33.14 | $59.08 | |
Cigna
| Facility | $19.64 | $33.60 | $202.50 | |
Cigna
| Professional | $18.98 | $41.12 | $113.58 | |
Florida Blue
| Facility | $28.23 | $161.38 | $260.14 | |
Florida Blue
| Professional | $38.83 | $47.26 | $77.66 | |
Molina
| Professional | $9.18 | $36.72 | $50.49 | |
United
| Facility | $78.77 | $78.77 | $118.16 | |
United
| Professional | $13.88 | $27.57 | $53.92 | |
Wellpoint
| Professional | $40.79 | $45.90 | $45.90 |