| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.88 | $446.68 | $446.68 | |
Aetna
| Professional | $117.49 | $234.42 | $446.68 | |
Florida Blue
| Professional | $19.95 | $20.89 | $28.84 | |
Molina
| Professional | $32.36 | $33.11 | $50.12 | |
Wellpoint
| Professional | $19.95 | $19.95 | $19.95 |