| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.99 | $47.58 | $74.56 | |
Aetna
| Professional | $40.99 | $48.80 | $60.95 | |
Cigna
| Professional | $43.10 | $66.16 | $100.11 | |
Florida Blue
| Professional | $39.96 | $41.32 | $53.89 | |
Molina
| Professional | $51.70 | $79.15 | $133.84 | |
United
| Professional | $45.17 | $63.31 | $103.95 | |
Wellpoint
| Professional | $40.86 | $49.14 | $49.14 |