| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.27 | $106.41 | $141.16 | |
Cigna
| Professional | $61.92 | $61.92 | $61.92 | |
Florida Blue
| Professional | $77.56 | $132.22 | $172.00 | |
Molina
| Professional | $152.83 | $152.83 | $152.83 | |
United
| Professional | $64.36 | $81.65 | $88.38 | |
Wellpoint
| Professional | $172.00 | $172.00 | $172.00 |