| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.00 | $134.88 | $355.88 | |
Aetna
| Professional | $130.00 | $134.88 | $138.13 | |
Cigna
| Facility | $137.80 | $137.80 | $137.80 | |
Cigna
| Professional | $137.80 | $137.80 | $137.80 | |
Florida Blue
| Facility | $135.04 | $140.44 | $140.44 | |
Florida Blue
| Professional | $149.50 | $149.50 | $149.50 | |
United
| Professional | $332.96 | $332.96 | $342.95 | |
Wellpoint
| Professional | $137.80 | $137.80 | $137.80 |