| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.00 | $25.00 | $25.00 | |
Florida Blue
| Professional | $99,999.99 | $99,999.99 | $99,999.99 | |
Molina
| Professional | $40.00 | $40.00 | $50.00 | |
United
| Professional | $3.71 | $3.71 | $3.71 | |
Wellpoint
| Professional | $5.59 | $5.59 | $5.59 |