| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $415.11 | $3,820.44 | $6,333.58 | |
Florida Blue
| Professional | $2,418.56 | $2,591.31 | $5,225.89 | |
Molina
| Professional | $2,685.25 | $4,001.50 | $5,314.20 | |
United
| Professional | $3,503.78 | $4,850.68 | $9,212.04 | |
Wellpoint
| Professional | $278.05 | $2,763.96 | $2,763.96 |