| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $677.60 | $677.60 | $876.05 | |
Aetna
| Professional | $540.96 | $540.96 | $876.05 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $389.76 | $389.76 | $920.40 | |
Florida Blue
| Professional | $108.91 | $203.35 | $373.99 | |
Molina
| Professional | $40.00 | $40.00 | $50.00 | |
Wellpoint
| Professional | $266.06 | $266.06 | $266.06 |