| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $217.00 | $243.00 | $694.00 | |
Ambetter
| Facility | $189.31 | $735.97 | $1,873.62 | |
Florida Blue
| Facility | $55.17 | $107.65 | $161.24 | |
Wellpoint
| Facility | $2,116.00 | $2,300.00 | $4,071.00 |