| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.25 | $141.25 | $141.25 | |
Aetna
| Professional | $141.25 | $141.25 | $141.25 | |
Cigna
| Facility | $148.50 | $148.50 | $148.50 | |
Cigna
| Professional | $148.50 | $148.50 | $148.50 | |
Florida Blue
| Professional | $76.93 | $81.02 | $87.92 | |
United
| Professional | $158.96 | $158.96 | $238.44 | |
Wellpoint
| Professional | $142.00 | $142.00 | $142.00 |