| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.25 | $25.00 | $25.00 | |
Florida Blue
| Facility | $118.36 | $118.36 | $169.09 | |
Florida Blue
| Professional | $34.50 | $45.25 | $79.72 | |
Wellpoint
| Professional | $45.00 | $45.00 | $45.00 |