| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $5,370.32 | $10,715.19 | $15,488.17 | |
United
| Professional | $602.56 | $933.25 | $1,318.26 | |
Wellcare
| Facility | $21,379.62 | $21,379.62 | $21,379.62 | |
Wellcare
| Professional | $3,715.35 | $3,715.35 | $3,715.35 |