| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $143.04 | $148.40 | $148.40 | |
Aetna
| Professional | $143.04 | $148.40 | $194.57 | |
Cigna
| Facility | $151.97 | $151.97 | $151.97 | |
Cigna
| Professional | $151.97 | $151.97 | $151.97 | |
Florida Blue
| Professional | $58.14 | $58.14 | $58.14 | |
United
| Professional | $104.98 | $104.98 | $104.98 |