| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.06 | $82.98 | $121.20 | |
Aetna
| Professional | $57.20 | $82.98 | $150.00 | |
Ambetter
| Professional | $81.27 | $103.14 | $143.00 | |
Cigna
| Facility | $97.37 | $97.37 | $97.37 | |
Cigna
| Professional | $68.86 | $105.39 | $187.21 | |
Florida Blue
| Professional | $36.96 | $79.56 | $113.09 | |
Molina
| Professional | $57.21 | $100.40 | $164.46 | |
United
| Professional | $70.02 | $97.44 | $177.41 | |
Wellpoint
| Professional | $52.01 | $71.47 | $99.44 |