| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.53 | $104.09 | $16,052.74 | |
Aetna
| Professional | $47.53 | $47.53 | $52.28 | |
Cigna
| Facility | $44.83 | $47.52 | $51.77 | |
Cigna
| Professional | $47.52 | $47.52 | $47.52 | |
Florida Blue
| Facility | $47.52 | $47.52 | $47.52 | |
Florida Blue
| Professional | $47.52 | $47.53 | $47.53 | |
United
| Professional | $47.53 | $47.53 | $71.30 | |
Wellpoint
| Professional | $47.53 | $47.53 | $48.38 |