| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $168.15 | $175.40 | $264.33 | |
Cigna
| Professional | $194.32 | $194.32 | $194.32 | |
Florida Blue
| Professional | $139.10 | $151.07 | $282.89 | |
Molina
| Professional | $180.77 | $247.25 | $355.78 | |
United
| Professional | $147.41 | $231.22 | $467.42 | |
Wellpoint
| Professional | $180.27 | $180.27 | $180.27 |