| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.97 | $157.34 | $180.26 | |
Aetna
| Professional | $136.16 | $165.62 | $300.05 | |
Cigna
| Facility | $227.96 | $227.96 | $227.96 | |
Cigna
| Professional | $166.41 | $166.41 | $227.96 | |
Florida Blue
| Facility | $514.19 | $99,999.99 | $99,999.99 | |
Florida Blue
| Professional | $154.51 | $342.66 | $918.20 | |
Molina
| Professional | $512.31 | $788.18 | $866.99 | |
United
| Professional | $133.85 | $167.39 | $217.91 | |
Wellpoint
| Professional | $342.66 | $788.18 | $788.18 |