| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.03 | $158.49 | $158.49 | |
Aetna
| Professional | $158.49 | $213.80 | $295.12 | |
Florida Blue
| Professional | $218.78 | $229.09 | $309.03 | |
Molina
| Professional | $39.81 | $39.81 | $60.26 | |
Wellpoint
| Professional | $257.04 | $257.04 | $257.04 |