| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.90 | $196.50 | $330.12 | |
Aetna
| Professional | $117.90 | $196.50 | $207.77 | |
Florida Blue
| Professional | $127.81 | $136.94 | $200.08 | |
United
| Professional | $149.07 | $171.70 | $284.29 | |
Wellpoint
| Professional | $64.05 | $64.05 | $64.05 |