| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.00 | $8.00 | $8.00 | |
Cigna
| Professional | $21.00 | $21.00 | $21.00 | |
Florida Blue
| Professional | $99,999.99 | $99,999.99 | $99,999.99 | |
Molina
| Professional | $40.00 | $40.00 | $50.00 | |
Wellpoint
| Professional | $729.62 | $729.62 | $729.62 |