| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $59.14 | $119.23 | $158.84 | |
Cigna
| Professional | $68.73 | $68.73 | $68.73 | |
Florida Blue
| Professional | $86.10 | $146.80 | $190.95 | |
Molina
| Professional | $152.83 | $152.83 | $152.83 | |
United
| Professional | $71.45 | $92.29 | $98.60 | |
Wellpoint
| Professional | $190.95 | $190.95 | $190.95 |