| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.40 | $152.91 | $204.77 | |
Cigna
| Professional | $91.11 | $91.11 | $91.11 | |
Florida Blue
| Professional | $85.59 | $145.93 | $189.82 | |
Molina
| Professional | $152.83 | $152.83 | $152.83 | |
United
| Professional | $81.52 | $94.70 | $117.75 | |
Wellpoint
| Professional | $253.09 | $253.09 | $253.09 |