| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.90 | $171.96 | $171.96 | |
Aetna
| Professional | $134.90 | $171.96 | $196.03 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $93.32 | $93.32 | $354.90 | |
Florida Blue
| Professional | $31.09 | $218.81 | $321.27 | |
Molina
| Professional | $40.00 | $40.00 | $50.00 | |
Wellpoint
| Professional | $104.95 | $296.88 | $296.88 |