| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $121.50 | $156.47 | $184.09 | |
Aetna
| Professional | $121.50 | $160.97 | $196.18 | |
Cigna
| Professional | $141.06 | $141.06 | $141.06 | |
Florida Blue
| Professional | $107.39 | $110.06 | $145.74 | |
Molina
| Professional | $115.41 | $160.78 | $266.85 | |
United
| Professional | $135.66 | $182.47 | $306.85 | |
Wellpoint
| Professional | $130.85 | $130.85 | $130.85 |