| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $142.30 | $142.30 | $142.30 | |
Florida Blue
| Facility | $55.17 | $76.95 | $161.24 |
Clinic-Pediatric Clinic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $142.30 | $142.30 | $142.30 | |
Florida Blue
| Facility | $55.17 | $76.95 | $161.24 |