| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.82 | $125.82 | $125.82 | |
Aetna
| Professional | $87.57 | $125.82 | $400.00 | |
Cigna
| Professional | $107.80 | $285.29 | $512.00 | |
Florida Blue
| Professional | $122.22 | $249.77 | $316.80 | |
Molina
| Professional | $40.00 | $40.00 | $70.00 | |
United
| Professional | $367.00 | $367.00 | $367.00 | |
Wellpoint
| Professional | $68.44 | $68.44 | $68.44 |