| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.00 | $83.00 | $130.69 | |
Aetna
| Professional | $78.12 | $112.32 | $112.32 | |
Ambetter
| Professional | $32.75 | $38.70 | $69.37 | |
Cigna
| Professional | $2.00 | $2.00 | $2.00 | |
Florida Blue
| Professional | $112.42 | $160.60 | $160.60 | |
Molina
| Professional | $40.00 | $40.00 | $50.00 |