| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.00 | $40.00 | $40.00 | |
Aetna
| Professional | $28.00 | $40.00 | $40.00 | |
Florida Blue
| Facility | $99,999.99 | $99,999.99 | $99,999.99 | |
Florida Blue
| Professional | $300.00 | $99,999.99 | $99,999.99 | |
Molina
| Professional | $168.55 | $259.32 | $285.25 | |
Wellpoint
| Professional | $259.32 | $259.32 | $259.32 |