| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.54 | $76.81 | $95.84 | |
Aetna
| Professional | $68.20 | $81.47 | $105.15 | |
Aetna
| Professional | 25 | $20.57 | $101.95 | $101.95 |
Cigna
| Professional | $74.43 | $124.31 | $182.68 | |
Florida Blue
| Professional | $72.69 | $75.12 | $91.22 | |
Molina
| Professional | $109.36 | $111.52 | $112.59 | |
United
| Professional | $65.81 | $100.02 | $186.15 | |
Wellpoint
| Professional | $80.25 | $80.25 | $107.32 |