| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.09 | $174.89 | $298.02 | |
Cigna
| Professional | $129.40 | $221.41 | $404.47 | |
Florida Blue
| Professional | $84.25 | $176.52 | $281.19 | |
Molina
| Professional | $31.31 | $195.72 | $308.19 | |
United
| Professional | $158.80 | $232.18 | $428.42 | |
Wellpoint
| Professional | $100.34 | $159.26 | $159.26 |