| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $101.98 | $120.13 | $165.93 | |
Cigna
| Professional | $109.36 | $170.34 | $272.61 | |
Florida Blue
| Professional | $98.43 | $105.46 | $185.50 | |
Molina
| Professional | $102.78 | $146.18 | $201.55 | |
United
| Professional | $115.42 | $165.92 | $299.32 | |
Wellpoint
| Professional | $88.74 | $111.32 | $111.32 |