| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.06 | $313.20 | $837.81 | |
Aetna
| Professional | $4.86 | $4.86 | $5.34 | |
Cigna
| Facility | $4.58 | $4.86 | $4.86 | |
Cigna
| Professional | $4.86 | $4.86 | $4.86 | |
Florida Blue
| Facility | $4.86 | $4.86 | $4.86 | |
Florida Blue
| Professional | $4.86 | $4.95 | $4.95 | |
United
| Professional | $4.86 | $4.86 | $7.29 | |
Wellpoint
| Professional | $4.86 | $4.97 | $4.97 |