| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.18 | $89.13 | $109.65 | |
Aetna
| Professional | $77.62 | $114.82 | $288.40 | |
Ambetter
| Professional | $95.50 | $117.49 | $190.55 | |
Cigna
| Facility | $181.97 | $181.97 | $181.97 | |
Cigna
| Professional | $89.13 | $131.83 | $229.09 | |
Florida Blue
| Professional | $75.86 | $81.28 | $112.20 | |
Molina
| Professional | $32.36 | $33.11 | $151.36 | |
United
| Professional | $75.86 | $109.65 | $204.17 | |
Wellpoint
| Professional | $89.13 | $89.13 | $112.20 |