| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.28 | $119.33 | $143.90 | |
Cigna
| Professional | $71.33 | $71.33 | $71.33 | |
Florida Blue
| Professional | $67.00 | $114.24 | $148.60 | |
Molina
| Professional | $152.83 | $152.83 | $152.83 | |
United
| Professional | $63.81 | $74.14 | $94.06 | |
Wellpoint
| Professional | $198.13 | $198.13 | $198.13 |