| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.02 | $79.14 | $80.33 | |
Aetna
| Professional | $20.00 | $27.42 | $33.58 | |
Cigna
| Facility | $22.51 | $26.66 | $30.66 | |
Cigna
| Professional | $22.66 | $22.66 | $27.46 | |
Florida Blue
| Facility | $28.67 | $116.58 | $195.61 | |
Florida Blue
| Professional | $22.23 | $30.50 | $44.36 | |
Molina
| Professional | $4.66 | $7.18 | $7.89 | |
United
| Professional | $15.24 | $21.21 | $26.99 | |
Wellpoint
| Professional | $7.18 | $7.18 | $17.22 |