| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,480.00 | $2,480.00 | $2,480.00 | |
Florida Blue
| Professional | $1,058.25 | $2,116.50 | $2,116.50 | |
Molina
| Professional | $40.00 | $40.00 | $50.00 |
Restorigin, 1 cc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,480.00 | $2,480.00 | $2,480.00 | |
Florida Blue
| Professional | $1,058.25 | $2,116.50 | $2,116.50 | |
Molina
| Professional | $40.00 | $40.00 | $50.00 |