| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $691.83 | $741.31 | $851.14 | |
Aetna
| Professional | $660.69 | $851.14 | $1,412.54 | |
Cigna
| Facility | $1,023.29 | $1,023.29 | $1,202.26 | |
Cigna
| Professional | $741.31 | $741.31 | $1,023.29 | |
Florida Blue
| Facility | $602.56 | $602.56 | $851.14 | |
Florida Blue
| Professional | $363.08 | $977.24 | $1,621.81 | |
Molina
| Professional | $602.56 | $912.01 | $1,148.15 | |
United
| Facility | $616.60 | $794.33 | $1,621.81 | |
United
| Professional | $630.96 | $794.33 | $1,148.15 | |
Wellpoint
| Professional | $912.01 | $912.01 | $1,621.81 |