| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.02 | $103.09 | $118.10 | |
Aetna
| Professional | $91.53 | $108.52 | $196.60 | |
Cigna
| Facility | $125.61 | $125.61 | $125.61 | |
Cigna
| Professional | $91.70 | $91.70 | $187.69 | |
Florida Blue
| Facility | $137.87 | $137.87 | $173.80 | |
Florida Blue
| Professional | $128.55 | $163.54 | $224.52 | |
Molina
| Professional | $89.65 | $137.93 | $151.72 | |
United
| Professional | $90.55 | $109.67 | $143.88 | |
Wellpoint
| Professional | $137.93 | $137.93 | $137.93 |