| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $95.74 | $175.55 | $221.26 | |
Cigna
| Professional | $104.60 | $104.60 | $104.60 | |
Florida Blue
| Professional | $98.27 | $167.54 | $217.92 | |
Molina
| Professional | $152.83 | $152.83 | $152.83 | |
United
| Professional | $93.59 | $108.72 | $134.03 | |
Wellpoint
| Professional | $290.57 | $290.57 | $290.57 |