| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.12 | $371.54 | $371.54 | |
Aetna
| Professional | $295.12 | $295.12 | $371.54 | |
Florida Blue
| Professional | $134.90 | $316.23 | $436.52 | |
United
| Professional | $251.19 | $371.54 | $1,174.90 |