| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.85 | $151.41 | $160.19 | |
Aetna
| Professional | $90.85 | $151.41 | $193.17 | |
Florida Blue
| Professional | $118.26 | $157.59 | $176.59 | |
Molina
| Professional | $302.39 | $302.39 | $302.39 | |
United
| Professional | $129.34 | $182.46 | $307.11 | |
Wellpoint
| Professional | $68.44 | $68.44 | $68.44 |