| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.97 | $28.97 | $28.97 | |
Aetna
| Professional | $28.97 | $28.97 | $39.90 | |
Cigna
| Facility | $31.94 | $31.94 | $31.94 | |
Cigna
| Professional | $31.94 | $31.94 | $31.94 | |
Florida Blue
| Facility | $28.97 | $28.97 | $28.97 | |
Florida Blue
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $32.38 | $32.38 | $38.21 | |
Wellpoint
| Professional | $32.36 | $32.36 | $32.36 |