| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $119.35 | $167.86 | $197.42 | |
Cigna
| Professional | $154.15 | $154.15 | $154.15 | |
Florida Blue
| Professional | $117.45 | $121.22 | $155.86 | |
Molina
| Professional | $140.88 | $197.71 | $327.28 | |
United
| Professional | $136.35 | $184.27 | $302.83 | |
Wellpoint
| Professional | $143.00 | $143.00 | $143.00 |