| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.56 | $160.41 | $175.66 | |
Aetna
| Professional | $124.56 | $175.66 | $279.93 | |
Cigna
| Professional | $197.02 | $197.02 | $197.02 | |
Florida Blue
| Professional | $192.38 | $232.05 | $384.75 | |
Molina
| Professional | $40.00 | $40.00 | $50.00 | |
Wellpoint
| Professional | $260.00 | $260.00 | $260.00 |