| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.66 | $61.66 | $61.66 | |
Aetna
| Professional | $57.54 | $67.61 | $131.83 | |
Cigna
| Facility | $112.20 | $112.20 | $112.20 | |
Cigna
| Professional | $66.07 | $95.50 | $173.78 | |
Florida Blue
| Professional | $34.67 | $70.79 | $89.13 | |
Molina
| Professional | $32.36 | $33.11 | $33.11 | |
United
| Facility | $66.07 | $66.07 | $66.07 | |
United
| Professional | $57.54 | $79.43 | $138.04 | |
Wellpoint
| Professional | $60.26 | $60.26 | $66.07 |