| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.00 | $100.83 | $122.90 | |
Cigna
| Professional | $60.08 | $60.08 | $60.08 | |
Florida Blue
| Professional | $56.44 | $96.23 | $125.17 | |
Molina
| Professional | $152.83 | $152.83 | $152.83 | |
United
| Professional | $53.75 | $62.45 | $79.23 | |
Wellpoint
| Professional | $166.89 | $166.89 | $166.89 |