| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.54 | $63.10 | $75.86 | |
Aetna
| Professional | $60.26 | $75.86 | $125.89 | |
Cigna
| Facility | $100.00 | $100.00 | $109.65 | |
Cigna
| Professional | $74.13 | $74.13 | $100.00 | |
Florida Blue
| Facility | $50.12 | $50.12 | $72.44 | |
Florida Blue
| Professional | $32.36 | $89.13 | $147.91 | |
Molina
| Professional | $37.15 | $57.54 | $70.79 | |
United
| Facility | $56.23 | $72.44 | $114.82 | |
United
| Professional | $56.23 | $72.44 | $104.71 | |
Wellpoint
| Professional | $57.54 | $57.54 | $147.91 |