| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $110.53 | $215.64 | $271.77 | |
Cigna
| Professional | $128.49 | $128.49 | $128.49 | |
Florida Blue
| Professional | $120.70 | $205.80 | $267.69 | |
Molina
| Professional | $152.83 | $152.83 | $152.83 | |
United
| Professional | $114.95 | $133.55 | $160.94 | |
Wellpoint
| Professional | $356.93 | $356.93 | $356.93 |