| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.43 | $99.66 | $208.34 | |
Aetna
| Professional | $88.98 | $109.75 | $143.22 | |
Ambetter
| Professional | $104.77 | $106.91 | $192.69 | |
Cigna
| Facility | $180.92 | $180.92 | $180.92 | |
Cigna
| Professional | $86.12 | $119.00 | $174.53 | |
Florida Blue
| Professional | $82.00 | $85.46 | $111.68 | |
Molina
| Professional | $98.93 | $147.43 | $199.29 | |
United
| Professional | $91.49 | $122.05 | $196.95 | |
Wellpoint
| Professional | $83.75 | $92.68 | $100.21 |