| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.00 | $95.00 | $95.00 | |
Aetna
| Professional | $66.18 | $95.00 | $102.98 | |
Cigna
| Professional | $46.50 | $46.50 | $58.13 | |
Florida Blue
| Professional | $28.25 | $40.22 | $40.49 | |
Wellpoint
| Professional | $15.39 | $15.39 | $15.39 |