| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.94 | $182.77 | $209.40 | |
Aetna
| Professional | $169.94 | $209.40 | $296.27 | |
Cigna
| Facility | $306.16 | $306.16 | $306.16 | |
Cigna
| Professional | $223.50 | $223.50 | $306.16 | |
Florida Blue
| Facility | $137.76 | $264.98 | $264.98 | |
Florida Blue
| Professional | $189.71 | $264.98 | $398.05 | |
Molina
| Professional | $142.07 | $218.57 | $240.42 | |
United
| Professional | $170.93 | $198.59 | $299.20 | |
Wellpoint
| Professional | $218.57 | $218.57 | $240.86 |