| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $149.83 | $149.83 | $149.83 | |
Aetna
| Professional | $149.83 | $149.83 | $282.77 | |
Cigna
| Facility | $164.66 | $164.66 | $164.66 | |
Cigna
| Professional | $164.66 | $164.66 | $164.66 | |
Florida Blue
| Facility | $149.83 | $149.83 | $149.83 | |
Florida Blue
| Professional | $161.00 | $161.00 | $161.00 | |
United
| Professional | $147.02 | $147.02 | $257.29 | |
Wellpoint
| Professional | $141.51 | $141.51 | $141.51 |