| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.20 | $19.20 | $19.20 | |
Aetna
| Professional | $19.20 | $19.20 | $19.20 | |
Cigna
| Facility | $11.89 | $11.89 | $11.89 | |
Cigna
| Professional | $11.89 | $11.89 | $11.89 | |
Florida Blue
| Professional | $24.00 | $24.00 | $24.00 | |
United
| Professional | $25.74 | $25.74 | $32.43 | |
Wellpoint
| Professional | $18.23 | $18.23 | $18.23 |