| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $105.87 | $170.10 | $271.20 | |
Cigna
| Professional | $127.48 | $226.86 | $406.55 | |
Florida Blue
| Professional | $150.75 | $171.49 | $306.52 | |
Molina
| Professional | $32.28 | $176.49 | $299.65 | |
United
| Professional | $172.96 | $264.01 | $477.27 | |
Wellpoint
| Professional | $103.41 | $188.94 | $188.94 |