| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $19,498.45 | $48,977.88 | $54,954.09 | |
United
| Professional | $549.54 | $851.14 | $1,202.26 | |
Wellcare
| Facility | $301,995.17 | $301,995.17 | $301,995.17 | |
Wellcare
| Professional | $3,467.37 | $3,467.37 | $3,467.37 |