| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.75 | $48.75 | $48.75 | |
Aetna
| Professional | $48.75 | $48.75 | $55.25 | |
Cigna
| Professional | $133.38 | $396.63 | $709.46 | |
Florida Blue
| Professional | $73.64 | $109.20 | $284.13 | |
United
| Professional | $190.00 | $256.82 | $542.00 | |
Wellpoint
| Professional | $69.58 | $69.58 | $69.58 |