| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $80.43 | $147.47 | $177.86 | |
Cigna
| Professional | $87.87 | $87.87 | $87.87 | |
Florida Blue
| Professional | $82.54 | $140.72 | $183.06 | |
Molina
| Professional | $152.83 | $152.83 | $152.83 | |
United
| Professional | $78.61 | $91.33 | $119.89 | |
Wellpoint
| Professional | $244.08 | $244.08 | $244.08 |