| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.40 | $72.00 | $72.00 | |
Aetna
| Professional | $50.40 | $72.00 | $144.16 | |
Cigna
| Facility | $52.17 | $52.17 | $52.17 | |
Cigna
| Professional | $38.08 | $38.08 | $53.74 | |
Florida Blue
| Facility | $99,999.99 | $99,999.99 | $99,999.99 | |
Florida Blue
| Professional | $80.11 | $133.52 | $199.76 | |
Molina
| Professional | $23.71 | $36.47 | $40.12 | |
United
| Professional | $86.33 | $106.96 | $156.97 | |
Wellpoint
| Professional | $36.47 | $36.47 | $39.00 |