| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $450.00 | $450.00 | $450.00 | |
Aetna
| Professional | $450.00 | $450.00 | $450.00 | |
Cigna
| Professional | $371.73 | $371.73 | $371.73 | |
Florida Blue
| Professional | $315.00 | $450.00 | $450.00 | |
United
| Professional | $363.53 | $589.50 | $1,142.61 | |
Wellpoint
| Professional | $439.65 | $450.00 | $459.00 |