| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.00 | $70.00 | $70.00 | |
Aetna
| Professional | $70.00 | $70.00 | $70.00 | |
Cigna
| Professional | $60.00 | $60.00 | $60.00 | |
Florida Blue
| Professional | $53.00 | $100.67 | $110.00 | |
Molina
| Professional | $50.00 | $50.00 | $70.00 | |
Wellpoint
| Professional | $100.00 | $100.00 | $100.00 |