| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.00 | $5,839.00 | $11,624.00 | |
Aetna
| Professional | $161.31 | $268.85 | $286.86 | |
Florida Blue
| Professional | $175.00 | $184.55 | $305.00 | |
Molina
| Professional | $40.00 | $40.00 | $50.00 | |
United
| Facility | $677.00 | $5,350.00 | $13,093.00 | |
United
| Professional | $227.86 | $328.70 | $536.37 | |
Wellpoint
| Professional | $204.74 | $204.74 | $204.74 |