| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.22 | $55.93 | $96.68 | |
Aetna
| Professional | $20.00 | $22.35 | $50.20 | |
Cigna
| Facility | $22.10 | $22.10 | $22.10 | |
Cigna
| Professional | $22.10 | $22.10 | $22.10 | |
Florida Blue
| Facility | $20.00 | $20.00 | $20.00 | |
Florida Blue
| Professional | $24.00 | $24.00 | $24.00 | |
United
| Professional | $22.35 | $22.35 | $28.16 | |
Wellpoint
| Professional | $22.35 | $22.35 | $22.35 |