| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $113.36 | $388.50 | $964.78 | |
Aetna
| Professional | $104.42 | $161.88 | $877.92 | |
Cigna
| Facility | $96.48 | $212.79 | $958.25 | |
Cigna
| Professional | $89.06 | $183.44 | $493.03 | |
Florida Blue
| Professional | $159.59 | $194.25 | $319.18 | |
United
| Facility | $323.75 | $323.75 | $323.75 | |
United
| Professional | $67.75 | $135.97 | $275.19 | |
Wellpoint
| Professional | $129.50 | $129.50 | $167.70 |