| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $318.00 | $318.00 | $318.00 | |
Aetna
| Professional | $318.00 | $318.00 | $349.80 | |
Cigna
| Facility | $300.00 | $318.00 | $318.00 | |
Cigna
| Professional | $318.00 | $318.00 | $318.00 | |
Florida Blue
| Facility | $318.00 | $318.00 | $318.00 | |
Florida Blue
| Professional | $159.00 | $318.00 | $318.00 | |
Molina
| Professional | $40.00 | $40.00 | $70.00 | |
United
| Professional | $318.00 | $318.00 | $321.18 | |
Wellpoint
| Professional | $318.00 | $318.00 | $318.00 |