| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $155.18 | $447.24 | $447.24 | |
Aetna
| Professional | $117.95 | $237.75 | $447.24 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Florida Blue
| Professional | $19.85 | $21.27 | $27.92 | |
Molina
| Professional | $40.00 | $40.00 | $50.00 | |
Wellpoint
| Professional | $19.87 | $19.87 | $19.87 |