| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $142.94 | $184.10 | $216.59 | |
Aetna
| Professional | $142.94 | $184.10 | $216.59 | |
Cigna
| Professional | $191.36 | $191.36 | $191.36 | |
Florida Blue
| Professional | $181.55 | $249.54 | $249.54 | |
United
| Professional | $173.27 | $267.27 | $521.50 | |
Wellpoint
| Professional | $70.00 | $70.00 | $257.64 |