| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.74 | $146.74 | $230.02 | |
Aetna
| Professional | $146.74 | $146.74 | $192.67 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $207.71 | $207.71 | $259.57 | |
Florida Blue
| Professional | $49.55 | $127.41 | $147.13 | |
Molina
| Professional | $40.00 | $40.00 | $50.00 | |
Wellpoint
| Professional | $146.80 | $157.38 | $157.38 |