| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.20 | $426.58 | $851.14 | |
Aetna
| Professional | $100.00 | $123.03 | $181.97 | |
Cigna
| Facility | $81.28 | $120.23 | $630.96 | |
Cigna
| Professional | $190.55 | $229.09 | $758.58 | |
Florida Blue
| Professional | $93.33 | $93.33 | $131.83 | |
Molina
| Professional | $50.12 | $93.33 | $141.25 | |
United
| Facility | $66.07 | $141.25 | $158.49 | |
United
| Professional | $54.95 | $66.07 | $234.42 | |
Wellpoint
| Professional | $42.66 | $93.33 | $93.33 |