| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.80 | $478.80 | $478.80 | |
Aetna
| Professional | $171.00 | $171.00 | $174.81 | |
Ambetter
| Professional | $97.24 | $177.09 | $330.00 | |
Cigna
| Professional | $102.95 | $102.95 | $123.35 | |
Florida Blue
| Professional | $102.40 | $228.88 | $411.20 | |
Molina
| Professional | $40.00 | $40.00 | $50.00 | |
United
| Professional | $272.79 | $314.89 | $608.96 | |
Wellpoint
| Professional | $135.79 | $135.79 | $135.79 |