| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $165.96 | $186.21 | $229.09 | |
Cigna
| Professional | $186.21 | $186.21 | $186.21 | |
Florida Blue
| Professional | $151.36 | $162.18 | $204.17 | |
Molina
| Professional | $32.36 | $33.11 | $33.11 | |
United
| Professional | $169.82 | $223.87 | $363.08 | |
Wellpoint
| Professional | $169.82 | $169.82 | $169.82 |