| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $122.36 | $130.51 | $177.93 | |
Cigna
| Professional | $150.88 | $150.88 | $150.88 | |
Florida Blue
| Professional | $108.15 | $115.87 | $203.48 | |
Molina
| Professional | $129.12 | $177.37 | $255.45 | |
United
| Professional | $126.83 | $165.44 | $330.18 | |
Wellpoint
| Professional | $139.97 | $139.97 | $139.97 |