| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $115.30 | $159.52 | $196.93 | |
Cigna
| Professional | $101.03 | $137.12 | $235.06 | |
Florida Blue
| Professional | $123.24 | $145.63 | $277.51 | |
Molina
| Professional | $108.32 | $109.92 | $110.72 | |
United
| Professional | $115.66 | $167.76 | $260.24 | |
Wellpoint
| Professional | $108.00 | $108.00 | $108.00 |