| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $191.84 | $212.60 | $253.67 | |
Aetna
| Professional | $124.28 | $210.07 | $315.55 | |
Cigna
| Facility | $312.30 | $312.30 | $312.30 | |
Cigna
| Professional | $227.98 | $227.98 | $312.30 | |
Florida Blue
| Facility | $99,999.99 | $99,999.99 | $99,999.99 | |
Florida Blue
| Professional | $176.50 | $294.16 | $419.82 | |
Molina
| Professional | $171.08 | $213.85 | $235.23 | |
United
| Professional | $181.19 | $230.99 | $329.43 | |
Wellpoint
| Professional | $213.85 | $213.85 | $254.13 |