| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $364.36 | $391.86 | $448.95 | |
Aetna
| Professional | $364.36 | $448.95 | $635.21 | |
Cigna
| Facility | $528.74 | $528.74 | $528.74 | |
Cigna
| Professional | $385.98 | $385.98 | $563.66 | |
Florida Blue
| Facility | $568.12 | $568.12 | $568.12 | |
Florida Blue
| Professional | $475.00 | $570.24 | $853.44 | |
Molina
| Professional | $682.75 | $682.75 | $682.75 | |
United
| Professional | $366.49 | $425.77 | $602.86 | |
Wellpoint
| Professional | $510.00 | $510.00 | $853.44 |