| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.68 | $199.12 | $391.68 | |
Aetna
| Professional | $22.49 | $32.67 | $53.03 | |
Cigna
| Professional | $17.18 | $29.21 | $55.11 | |
Florida Blue
| Professional | $20.92 | $32.00 | $49.14 | |
Molina
| Professional | $50.20 | $67.30 | $85.33 | |
United
| Professional | $27.76 | $31.84 | $44.69 | |
Wellpoint
| Professional | $20.14 | $35.89 | $35.89 |