| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.20 | $125.89 | $204.17 | |
Cigna
| Professional | $100.00 | $154.88 | $257.04 | |
Florida Blue
| Professional | $53.70 | $95.50 | $138.04 | |
Molina
| Professional | $32.36 | $33.11 | $33.11 | |
United
| Professional | $91.20 | $125.89 | $204.17 | |
Wellpoint
| Professional | $102.33 | $102.33 | $138.04 |