| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.28 | $69.29 | $69.29 | |
Aetna
| Professional | $63.28 | $69.29 | $72.38 | |
Cigna
| Facility | $127.68 | $127.68 | $127.68 | |
Cigna
| Professional | $104.92 | $104.92 | $104.92 | |
Florida Blue
| Professional | $79.73 | $87.00 | $122.73 | |
Molina
| Professional | $40.00 | $40.00 | $50.00 |