| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $13,182.57 | $33,884.42 | $43,651.58 | |
United
| Professional | $114.82 | $169.82 | $363.08 | |
Wellcare
| Facility | $239,883.29 | $239,883.29 | $239,883.29 | |
Wellcare
| Professional | $6,165.95 | $7,413.10 | $7,413.10 |