| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.00 | $87.08 | $287.00 | |
Aetna
| Professional | $40.50 | $50.70 | $61.94 | |
Cigna
| Facility | $45.00 | $53.00 | $65.00 | |
Cigna
| Professional | $36.20 | $51.06 | $105.33 | |
Florida Blue
| Facility | $17.70 | $21.62 | $30.16 | |
Florida Blue
| Professional | $25.52 | $33.76 | $38.58 | |
Molina
| Professional | $27.43 | $36.18 | $54.24 | |
United
| Professional | $33.61 | $37.02 | $63.08 | |
Wellpoint
| Professional | $42.79 | $42.79 | $42.79 |