| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $178.92 | $198.28 | $227.16 | |
Aetna
| Professional | $171.57 | $208.72 | $378.13 | |
Cigna
| Facility | $252.01 | $252.01 | $252.01 | |
Cigna
| Professional | $183.97 | $183.97 | $268.64 | |
Florida Blue
| Facility | $161.57 | $265.18 | $265.18 | |
Florida Blue
| Professional | $230.82 | $288.52 | $431.84 | |
Molina
| Professional | $128.79 | $198.14 | $217.95 | |
United
| Professional | $172.83 | $210.94 | $274.61 | |
Wellpoint
| Professional | $198.14 | $198.14 | $229.86 |