| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.00 | $129.00 | $686.00 | |
Ambetter
| Facility | $48.60 | $232.90 | $475.85 | |
Florida Blue
| Facility | $55.17 | $76.95 | $161.24 |
Other Therapeutic Services (see also 095X, an extension of 094X)-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.00 | $129.00 | $686.00 | |
Ambetter
| Facility | $48.60 | $232.90 | $475.85 | |
Florida Blue
| Facility | $55.17 | $76.95 | $161.24 |