| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.44 | $98.16 | $515.52 | |
Aetna
| Professional | $60.76 | $98.16 | $98.16 | |
Cigna
| Facility | $96.58 | $96.58 | $96.58 | |
Cigna
| Professional | $96.58 | $96.58 | $96.58 | |
Florida Blue
| Facility | $98.16 | $98.16 | $98.16 | |
Florida Blue
| Professional | $98.16 | $98.16 | $98.16 | |
United
| Professional | $86.23 | $86.23 | $108.65 | |
Wellpoint
| Professional | $83.49 | $83.49 | $98.16 |