| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $88.50 | $94.41 | $154.27 | |
Cigna
| Professional | $109.51 | $109.51 | $109.51 | |
Florida Blue
| Professional | $78.44 | $84.05 | $147.22 | |
Molina
| Professional | $103.30 | $141.77 | $202.02 | |
United
| Professional | $94.58 | $125.58 | $248.95 | |
Wellpoint
| Professional | $101.60 | $101.60 | $101.60 |