| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.23 | $23.91 | $753.24 | |
Aetna
| Professional | $22.23 | $23.89 | $28.84 | |
Cigna
| Professional | $34.94 | $34.94 | $34.94 | |
Florida Blue
| Professional | $31.25 | $31.25 | $31.25 | |
United
| Professional | $24.72 | $25.98 | $39.04 | |
Wellpoint
| Professional | $52.08 | $399.80 | $399.80 |