| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.00 | $129.00 | $686.00 | |
Florida Blue
| Facility | $55.17 | $76.95 | $161.24 | |
United
| Facility | $714.00 | $714.00 | $714.00 |
Other Therapeutic Services - Other Therapeutic Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.00 | $129.00 | $686.00 | |
Florida Blue
| Facility | $55.17 | $76.95 | $161.24 | |
United
| Facility | $714.00 | $714.00 | $714.00 |