| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.99 | $107.28 | $137.52 | |
Cigna
| Professional | $63.92 | $63.92 | $63.92 | |
Florida Blue
| Professional | $60.05 | $102.38 | $133.16 | |
Molina
| Professional | $152.83 | $152.83 | $152.83 | |
United
| Professional | $57.19 | $66.44 | $87.73 | |
Wellpoint
| Professional | $177.56 | $177.56 | $177.56 |