| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.58 | $117.94 | $138.75 | |
Aetna
| Professional | $91.58 | $117.94 | $157.38 | |
Cigna
| Professional | $141.60 | $141.60 | $141.60 | |
Florida Blue
| Professional | $134.35 | $184.67 | $184.67 | |
United
| Professional | $97.13 | $168.17 | $320.58 | |
Wellpoint
| Professional | $70.00 | $70.00 | $190.69 |