| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $134.90 | $151.36 | $186.21 | |
Cigna
| Professional | $154.88 | $154.88 | $154.88 | |
Florida Blue
| Professional | $128.82 | $138.04 | $169.82 | |
Molina
| Professional | $32.36 | $33.11 | $33.11 | |
United
| Professional | $138.04 | $181.97 | $295.12 | |
Wellpoint
| Professional | $144.54 | $144.54 | $144.54 |