| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.95 | $73.81 | $128.51 | |
Aetna
| Professional | $73.81 | $73.81 | $73.81 | |
Cigna
| Facility | $72.52 | $72.52 | $72.52 | |
Cigna
| Professional | $72.52 | $72.52 | $72.52 | |
Florida Blue
| Facility | $73.81 | $73.81 | $73.81 | |
Florida Blue
| Professional | $73.81 | $73.81 | $73.81 | |
United
| Professional | $73.81 | $73.81 | $93.01 | |
Wellpoint
| Professional | $73.81 | $73.81 | $73.81 |