| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.69 | $77.88 | $113.61 | |
Aetna
| Professional | $52.19 | $77.54 | $143.96 | |
Ambetter
| Professional | $87.18 | $93.24 | $144.83 | |
Cigna
| Facility | $88.85 | $88.85 | $88.85 | |
Cigna
| Professional | $60.52 | $96.68 | $175.76 | |
Florida Blue
| Professional | $33.69 | $71.69 | $106.04 | |
Molina
| Professional | $53.81 | $87.33 | $128.93 | |
United
| Professional | $65.54 | $92.03 | $162.99 | |
Wellpoint
| Professional | $48.92 | $71.47 | $93.24 |