| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $113.65 | $202.65 | $297.01 | |
Cigna
| Professional | $132.49 | $249.38 | $461.44 | |
Florida Blue
| Professional | $178.82 | $191.72 | $337.23 | |
Molina
| Professional | $193.50 | $290.41 | $391.06 | |
United
| Professional | $205.51 | $294.70 | $534.40 | |
Wellpoint
| Professional | $103.66 | $206.81 | $206.81 |