| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $262.00 | $356.00 | $464.00 | |
Ambetter
| Facility | $337.06 | $337.06 | $372.29 | |
Florida Blue
| Facility | $55.17 | $76.95 | $161.24 | |
United
| Facility | $1,650.00 | $1,650.00 | $1,650.00 |