| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.42 | $74.69 | $103.85 | |
Cigna
| Facility | $94.65 | $94.65 | $114.79 | |
Cigna
| Professional | $80.45 | $94.65 | $124.23 | |
Florida Blue
| Facility | $103.39 | $103.39 | $103.39 | |
Florida Blue
| Professional | $99.67 | $137.93 | $166.12 | |
Molina
| Professional | $71.03 | $94.71 | $118.39 | |
United
| Professional | $62.97 | $79.41 | $117.24 | |
Wellpoint
| Professional | $118.39 | $118.39 | $118.39 |