| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $84.07 | $154.13 | $189.96 | |
Cigna
| Professional | $91.84 | $91.84 | $91.84 | |
Florida Blue
| Professional | $86.28 | $147.10 | $191.34 | |
Molina
| Professional | $152.83 | $152.83 | $152.83 | |
United
| Professional | $82.17 | $95.46 | $121.12 | |
Wellpoint
| Professional | $255.13 | $255.13 | $255.13 |