| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $4,897.79 | $10,715.19 | $18,197.01 | |
United
| Professional | $676.08 | $977.24 | $1,659.59 | |
Wellcare
| Facility | $17,378.01 | $17,378.01 | $17,378.01 | |
Wellcare
| Professional | $4,168.69 | $4,365.16 | $4,365.16 |