| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $572.00 | $572.00 | $572.00 | |
Florida Blue
| Facility | $55.17 | $76.95 | $161.24 |
Patient Convenience Items-Other Convenience Items
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $572.00 | $572.00 | $572.00 | |
Florida Blue
| Facility | $55.17 | $76.95 | $161.24 |