| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.52 | $110.09 | $167.33 | |
Aetna
| Professional | $71.52 | $71.52 | $78.68 | |
Cigna
| Facility | $67.47 | $71.52 | $71.52 | |
Cigna
| Professional | $71.52 | $71.52 | $71.52 | |
Florida Blue
| Facility | $71.52 | $71.52 | $71.52 | |
Florida Blue
| Professional | $71.52 | $71.52 | $71.52 | |
United
| Professional | $71.52 | $71.52 | $125.16 | |
Wellpoint
| Professional | $71.52 | $73.39 | $73.39 |