| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $296.02 | $384.71 | $677.25 | |
Aetna
| Professional | $265.00 | $335.55 | $574.98 | |
Cigna
| Facility | $368.58 | $368.58 | $368.58 | |
Cigna
| Professional | $368.58 | $368.58 | $368.58 | |
Florida Blue
| Facility | $335.55 | $335.55 | $335.55 | |
Florida Blue
| Professional | $335.55 | $335.55 | $335.55 | |
United
| Professional | $329.09 | $329.09 | $398.00 | |
Wellpoint
| Professional | $290.42 | $290.42 | $290.42 |