| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.96 | $370.18 | $720.80 | |
Aetna
| Professional | $151.33 | $169.96 | $273.11 | |
Cigna
| Facility | $186.76 | $186.76 | $186.76 | |
Cigna
| Professional | $186.76 | $186.76 | $186.76 | |
Florida Blue
| Facility | $169.96 | $169.96 | $169.96 | |
Florida Blue
| Professional | $183.00 | $183.00 | $183.00 | |
United
| Professional | $166.75 | $166.75 | $199.95 | |
Wellpoint
| Professional | $111.73 | $160.50 | $160.50 |