| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $121.51 | $129.60 | $197.05 | |
Cigna
| Professional | $152.07 | $152.07 | $152.07 | |
Florida Blue
| Professional | $109.00 | $116.79 | $210.93 | |
Molina
| Professional | $129.12 | $177.37 | $255.45 | |
United
| Professional | $132.37 | $177.02 | $335.26 | |
Wellpoint
| Professional | $141.07 | $141.07 | $141.07 |