| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $253.60 | $253.60 | $343.24 | |
Aetna
| Professional | $253.60 | $253.60 | $343.24 | |
Cigna
| Facility | $50.00 | $50.00 | $50.00 | |
Florida Blue
| Professional | $1,050.00 | $1,050.00 | $1,050.00 |