| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.06 | $83.24 | $121.58 | |
Aetna
| Professional | $57.20 | $83.25 | $150.00 | |
Ambetter
| Professional | $75.20 | $99.44 | $128.93 | |
Cigna
| Facility | $97.37 | $97.37 | $97.37 | |
Cigna
| Professional | $68.48 | $105.79 | $187.84 | |
Florida Blue
| Professional | $37.11 | $79.66 | $113.15 | |
Molina
| Professional | $58.64 | $104.90 | $165.46 | |
United
| Professional | $70.66 | $99.45 | $177.59 | |
Wellpoint
| Professional | $53.31 | $71.47 | $99.44 |