| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Florida Blue
| Professional | $35.53 | $75.83 | $88.81 | |
Molina
| Professional | $50.00 | $50.00 | $143.84 | |
United
| Professional | $62.48 | $83.79 | $137.76 | |
Wellpoint
| Professional | $246.80 | $246.80 | $246.80 |