| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $99.33 | $182.13 | $234.93 | |
Cigna
| Professional | $108.53 | $108.53 | $108.53 | |
Florida Blue
| Professional | $101.95 | $173.82 | $226.10 | |
Molina
| Professional | $152.83 | $152.83 | $152.83 | |
United
| Professional | $97.10 | $112.80 | $143.12 | |
Wellpoint
| Professional | $301.45 | $301.45 | $301.45 |