| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $95.74 | $102.13 | $166.16 | |
Cigna
| Professional | $135.10 | $135.10 | $135.10 | |
Florida Blue
| Professional | $96.75 | $103.66 | $182.33 | |
Molina
| Professional | $129.12 | $177.21 | $252.53 | |
United
| Professional | $109.58 | $153.02 | $292.98 | |
Wellpoint
| Professional | $125.33 | $125.33 | $125.33 |