| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $13,182.57 | $27,542.29 | $43,651.58 | |
United
| Professional | $316.23 | $457.09 | $707.95 | |
Wellcare
| Facility | $151,356.12 | $151,356.12 | $151,356.12 | |
Wellcare
| Professional | $1,995.26 | $1,995.26 | $1,995.26 |