| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $119.70 | $119.70 | $119.70 | |
Cigna
| Facility | $94.50 | $94.50 | $94.50 | |
Cigna
| Professional | $80.33 | $94.50 | $150.55 | |
Florida Blue
| Professional | $358.80 | $436.51 | $488.59 | |
Wellpoint
| Professional | $150.00 | $150.00 | $150.00 |