| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.63 | $67.84 | $618.04 | |
Aetna
| Professional | $69.20 | $69.22 | $76.14 | |
Cigna
| Facility | $76.14 | $76.14 | $76.14 | |
Cigna
| Professional | $76.14 | $76.14 | $76.14 | |
Florida Blue
| Facility | $69.22 | $69.22 | $69.22 | |
Florida Blue
| Professional | $69.22 | $69.22 | $69.22 | |
United
| Professional | $77.36 | $77.36 | $97.47 | |
Wellpoint
| Professional | $77.36 | $77.36 | $77.36 |