| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $166.88 | $187.28 | $233.06 | |
Cigna
| Professional | $184.50 | $184.50 | $184.50 | |
Florida Blue
| Professional | $140.50 | $144.66 | $190.68 | |
Molina
| Professional | $168.71 | $238.04 | $397.74 | |
United
| Professional | $160.57 | $226.10 | $391.28 | |
Wellpoint
| Professional | $171.16 | $171.16 | $171.16 |