| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.76 | $49.60 | $56.82 | |
Aetna
| Professional | $31.09 | $49.60 | $77.89 | |
Cigna
| Facility | $67.20 | $67.20 | $77.70 | |
Cigna
| Professional | $49.06 | $49.06 | $67.20 | |
Florida Blue
| Facility | $66.33 | $66.33 | $66.33 | |
Florida Blue
| Professional | $44.69 | $72.17 | $82.30 | |
Molina
| Professional | $50.33 | $77.44 | $85.18 | |
United
| Facility | $124.56 | $124.56 | $124.56 | |
United
| Professional | $43.19 | $52.76 | $74.34 | |
Wellpoint
| Professional | $74.48 | $77.44 | $77.44 |