| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $163.13 | $191.92 | $191.92 | |
Aetna
| Professional | $191.92 | $191.92 | $191.92 | |
Cigna
| Facility | $188.55 | $188.55 | $188.55 | |
Cigna
| Professional | $188.55 | $188.55 | $188.55 | |
Florida Blue
| Facility | $191.92 | $191.92 | $191.92 | |
Florida Blue
| Professional | $191.92 | $191.92 | $191.92 | |
United
| Professional | $168.35 | $168.35 | $225.59 | |
Wellpoint
| Professional | $161.54 | $161.54 | $191.92 |