| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $133.47 | $214.93 | $590.91 | |
Aetna
| Professional | $133.46 | $133.47 | $192.19 | |
Cigna
| Facility | $131.13 | $131.13 | $131.13 | |
Cigna
| Professional | $131.13 | $131.13 | $131.13 | |
Florida Blue
| Facility | $133.47 | $133.47 | $133.47 | |
Florida Blue
| Professional | $133.47 | $133.47 | $133.47 | |
United
| Professional | $117.08 | $117.08 | $140.50 | |
Wellpoint
| Professional | $133.47 | $133.47 | $133.47 |