| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.60 | $164.60 | $190.94 | |
Aetna
| Professional | $158.51 | $164.60 | $250.00 | |
Cigna
| Facility | $175.41 | $175.41 | $175.41 | |
Cigna
| Professional | $175.41 | $175.41 | $175.41 | |
Florida Blue
| Facility | $158.97 | $158.97 | $158.97 | |
Florida Blue
| Professional | $172.00 | $172.00 | $172.00 | |
United
| Professional | $156.69 | $156.69 | $197.44 | |
Wellpoint
| Professional | $153.87 | $153.87 | $153.87 |