| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.28 | $90.07 | $107.47 | |
Aetna
| Professional | $53.14 | $90.07 | $132.13 | |
Cigna
| Facility | $128.79 | $128.79 | $128.79 | |
Cigna
| Professional | $94.02 | $94.02 | $128.79 | |
Florida Blue
| Facility | $99,999.99 | $99,999.99 | $99,999.99 | |
Florida Blue
| Professional | $73.50 | $122.50 | $174.82 | |
Molina
| Professional | $98.00 | $98.00 | $98.00 | |
United
| Professional | $75.05 | $97.86 | $136.46 | |
Wellpoint
| Professional | $111.80 | $111.80 | $122.50 |