| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $127.55 | $127.55 | $503.94 | |
Aetna
| Professional | $115.54 | $127.55 | $242.60 | |
Cigna
| Facility | $134.47 | $134.47 | $134.47 | |
Cigna
| Professional | $134.47 | $134.47 | $134.47 | |
Florida Blue
| Facility | $121.82 | $121.82 | $121.82 | |
Florida Blue
| Professional | $132.00 | $132.00 | $132.00 | |
United
| Professional | $120.06 | $120.06 | $151.28 | |
Wellpoint
| Professional | $81.40 | $116.81 | $116.81 |