| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $336.05 | $544.00 | $821.74 | |
Cigna
| Facility | $405.00 | $405.00 | $405.00 | |
Cigna
| Professional | $344.25 | $405.00 | $417.15 | |
Florida Blue
| Facility | $517.58 | $517.58 | $517.58 | |
Florida Blue
| Professional | $517.58 | $592.38 | $949.95 | |
Wellpoint
| Professional | $637.50 | $637.50 | $637.50 |