| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $143.93 | $159.50 | $190.32 | |
Aetna
| Professional | $94.10 | $159.50 | $233.99 | |
Cigna
| Facility | $211.82 | $211.82 | $211.82 | |
Cigna
| Professional | $154.63 | $154.63 | $218.17 | |
Florida Blue
| Facility | $99,999.99 | $99,999.99 | $99,999.99 | |
Florida Blue
| Professional | $130.15 | $216.91 | $309.57 | |
Molina
| Professional | $173.52 | $173.52 | $173.52 | |
United
| Professional | $132.90 | $173.30 | $241.63 | |
Wellpoint
| Professional | $193.20 | $193.20 | $216.91 |