| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $537.03 | $537.03 | $537.03 | |
Florida Blue
| Professional | $28.84 | $28.84 | $28.84 | |
Molina
| Professional | $39.81 | $39.81 | $39.81 | |
United
| Professional | $34.67 | $39.81 | $60.26 | |
Wellpoint
| Professional | $2.24 | $2.24 | $2.24 |