| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.91 | $83.64 | $123.82 | |
Cigna
| Professional | $80.95 | $112.04 | $172.30 | |
Florida Blue
| Professional | $76.52 | $86.06 | $131.78 | |
Molina
| Professional | $103.35 | $137.26 | $177.84 | |
United
| Professional | $63.70 | $88.57 | $160.50 | |
Wellpoint
| Professional | $97.45 | $97.45 | $97.45 |