| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Florida Blue
| Professional | $446.68 | $446.68 | $446.68 | |
Molina
| Professional | $32.36 | $33.11 | $50.12 |
Unspecified Restorative Procedure, By Report
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Florida Blue
| Professional | $446.68 | $446.68 | $446.68 | |
Molina
| Professional | $32.36 | $33.11 | $50.12 |