| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Florida Blue
| Professional | $46.62 | $66.59 | $71.83 | |
Molina
| Professional | $40.00 | $40.00 | $50.00 | |
United
| Professional | $54.17 | $74.64 | $139.75 | |
Wellpoint
| Professional | $77.34 | $77.34 | $77.34 |