| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.78 | $20.83 | $20.83 | |
Aetna
| Professional | $20.83 | $20.83 | $29.28 | |
Cigna
| Facility | $45.00 | $55.00 | $65.00 | |
Florida Blue
| Professional | $39.20 | $128.58 | $185.31 | |
Molina
| Professional | $40.00 | $40.00 | $50.00 | |
Wellpoint
| Professional | $14.50 | $14.50 | $14.50 |