| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.00 | $140.00 | $140.00 | |
Aetna
| Professional | $98.00 | $140.00 | $140.00 | |
Cigna
| Facility | $223.29 | $223.29 | $223.29 | |
Cigna
| Professional | $163.00 | $163.00 | $223.29 | |
Florida Blue
| Facility | $159.27 | $99,999.99 | $99,999.99 | |
Florida Blue
| Professional | $284.41 | $284.41 | $99,999.99 | |
Molina
| Professional | $158.69 | $244.14 | $268.55 | |
United
| Professional | $152.77 | $170.65 | $284.41 | |
Wellpoint
| Professional | $244.14 | $244.14 | $244.14 |