| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.90 | $60.08 | $127.39 | |
Aetna
| Professional | $57.90 | $60.08 | $61.88 | |
Cigna
| Facility | $61.52 | $61.52 | $85.00 | |
Cigna
| Professional | $61.52 | $61.52 | $61.52 | |
Florida Blue
| Facility | $61.52 | $61.52 | $61.52 | |
Florida Blue
| Professional | $30.16 | $60.31 | $66.48 | |
Molina
| Professional | $40.00 | $40.00 | $40.00 | |
United
| Professional | $60.32 | $60.32 | $60.92 | |
Wellpoint
| Professional | $107.31 | $107.31 | $107.31 |