| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.92 | $61.54 | $103.62 | |
Cigna
| Professional | $25.87 | $66.89 | $149.68 | |
Florida Blue
| Professional | $29.67 | $62.74 | $110.70 | |
Molina
| Professional | $82.10 | $111.78 | $167.68 | |
United
| Professional | $41.13 | $74.66 | $118.69 | |
Wellpoint
| Professional | $25.67 | $25.67 | $82.82 |