| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.90 | $38.90 | $72.44 | |
Cigna
| Professional | $24.55 | $39.81 | $81.28 | |
Florida Blue
| Professional | $38.02 | $60.26 | $93.33 | |
Molina
| Professional | $32.36 | $33.11 | $33.11 | |
United
| Facility | $21.38 | $21.38 | $21.38 | |
United
| Professional | $25.70 | $34.67 | $123.03 | |
Wellpoint
| Professional | $21.38 | $21.38 | $21.38 |