| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.06 | $86.72 | $165.95 | |
Aetna
| Professional | $57.20 | $86.55 | $154.00 | |
Ambetter
| Professional | $78.40 | $107.10 | $150.00 | |
Cigna
| Facility | $97.37 | $97.37 | $97.37 | |
Cigna
| Professional | $68.17 | $109.31 | $195.40 | |
Florida Blue
| Professional | $40.06 | $85.95 | $119.46 | |
Molina
| Professional | $58.64 | $104.90 | $165.46 | |
United
| Professional | $75.78 | $103.76 | $184.76 | |
Wellpoint
| Professional | $53.31 | $71.47 | $100.16 |