| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.00 | $20.00 | $20.00 | |
Aetna
| Professional | $12.00 | $20.00 | $20.00 | |
Cigna
| Professional | $3.60 | $3.60 | $3.60 | |
Florida Blue
| Professional | $33.00 | $55.30 | $55.30 | |
Wellpoint
| Professional | $4.00 | $4.00 | $4.00 |