| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.18 | $121.27 | $241.97 | |
Aetna
| Professional | $43.31 | $72.18 | $76.33 | |
Florida Blue
| Professional | $56.61 | $79.75 | $107.35 | |
Molina
| Professional | $50.00 | $50.00 | $134.25 | |
United
| Professional | $57.68 | $84.59 | $160.69 | |
Wellpoint
| Professional | $90.69 | $90.69 | $90.69 |