| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.50 | $45.00 | $45.00 | |
Aetna
| Professional | $31.50 | $45.00 | $45.00 | |
Cigna
| Facility | $379.93 | $379.93 | $379.93 | |
Cigna
| Professional | $277.35 | $277.35 | $379.93 | |
Florida Blue
| Facility | $99,999.99 | $99,999.99 | $99,999.99 | |
Florida Blue
| Professional | $325.00 | $99,999.99 | $99,999.99 | |
Molina
| Professional | $40.00 | $40.00 | $50.00 | |
Wellpoint
| Professional | $1,078.66 | $1,078.66 | $1,078.66 |