| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $275.42 | $758.58 | $1,023.29 | |
Florida Blue
| Facility | $54.95 | $77.62 | $162.18 | |
Molina
| Facility | $1,023.29 | $1,023.29 | $1,023.29 | |
United
| Facility | $147.91 | $213.80 | $588.84 |