| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.68 | $12.68 | $12.68 | |
Aetna
| Professional | $12.68 | $12.68 | $12.68 | |
Cigna
| Facility | $11.97 | $11.97 | $11.97 | |
Cigna
| Professional | $11.97 | $11.97 | $11.97 | |
Florida Blue
| Professional | $24.00 | $24.00 | $24.00 | |
United
| Professional | $51.46 | $51.46 | $64.84 | |
Wellpoint
| Professional | $12.04 | $12.04 | $12.04 |