| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.60 | $100.85 | $130.62 | |
Cigna
| Professional | $57.66 | $57.66 | $57.66 | |
Florida Blue
| Professional | $70.80 | $120.71 | $157.02 | |
Molina
| Professional | $152.83 | $152.83 | $152.83 | |
United
| Professional | $59.93 | $74.54 | $81.08 | |
Wellpoint
| Professional | $160.15 | $160.15 | $160.15 |