| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $366.10 | $479.18 | $514.94 | |
Aetna
| Professional | $366.10 | $461.50 | $640.32 | |
Cigna
| Professional | $643.37 | $643.37 | $643.37 | |
Florida Blue
| Professional | $522.47 | $730.50 | $730.50 | |
Molina
| Professional | $56.42 | $71.02 | $710.24 | |
United
| Professional | $297.88 | $372.51 | $612.49 | |
Wellpoint
| Professional | $532.37 | $532.37 | $532.37 |