| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $159.81 | $268.45 | $535.79 | |
Aetna
| Professional | $95.88 | $159.81 | $169.02 | |
Florida Blue
| Professional | $133.60 | $189.62 | $355.68 | |
Molina
| Professional | $50.00 | $50.00 | $2,864.00 | |
United
| Professional | $129.06 | $186.73 | $391.36 | |
Wellpoint
| Professional | $162.13 | $162.13 | $162.13 |