| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.88 | $230.06 | $452.45 | |
Aetna
| Professional | $89.88 | $174.10 | $333.70 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $161.72 | $161.72 | $161.72 | |
Florida Blue
| Professional | $88.18 | $249.23 | $263.45 | |
Molina
| Professional | $40.00 | $40.00 | $50.00 | |
Wellpoint
| Professional | $248.99 | $248.99 | $305.97 |