| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.62 | $18.62 | $18.62 | |
Aetna
| Professional | $18.62 | $18.62 | $18.62 | |
Cigna
| Facility | $17.52 | $17.52 | $17.52 | |
Cigna
| Professional | $17.52 | $17.52 | $17.52 | |
Florida Blue
| Professional | $24.00 | $24.00 | $24.00 | |
United
| Professional | $18.62 | $18.62 | $23.46 | |
Wellpoint
| Professional | $17.68 | $17.68 | $17.68 |