| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $618.00 | $618.00 | $618.00 | |
Florida Blue
| Facility | $55.17 | $76.95 | $161.24 |
All Inclusive Ancillary - General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $618.00 | $618.00 | $618.00 | |
Florida Blue
| Facility | $55.17 | $76.95 | $161.24 |