| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4,998.68 | $4,998.68 | $4,998.68 | |
Florida Blue
| Professional | $850.00 | $850.00 | $850.00 | |
Molina
| Professional | $40.00 | $50.00 | $70.00 | |
United
| Professional | $888.93 | $888.93 | $897.82 |