| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.49 | $56.12 | $89.03 | |
Cigna
| Professional | $15.86 | $63.14 | $123.92 | |
Florida Blue
| Professional | $31.35 | $65.62 | $80.34 | |
Molina
| Professional | $45.19 | $70.34 | $108.48 | |
United
| Professional | $56.61 | $81.43 | $144.47 | |
Wellpoint
| Professional | $12.00 | $59.75 | $59.75 |