| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.18 | $92.96 | $109.37 | |
Aetna
| Professional | $72.18 | $101.71 | $119.88 | |
Cigna
| Professional | $92.55 | $92.55 | $92.55 | |
Florida Blue
| Professional | $70.31 | $72.81 | $93.61 | |
Molina
| Professional | $84.35 | $119.37 | $198.87 | |
United
| Professional | $82.10 | $109.80 | $180.94 | |
Wellpoint
| Professional | $85.86 | $85.86 | $85.86 |