| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $49.92 | $178.34 | $894.86 | |
Florida Blue
| Facility | $55.17 | $76.95 | $161.24 | |
Molina
| Facility | $2,750.00 | $2,750.00 | $2,750.00 | |
United
| Facility | $1,650.00 | $1,650.00 | $1,650.00 |