| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $13,182.57 | $30,199.52 | $43,651.58 | |
United
| Professional | $338.84 | $524.81 | $741.31 | |
Wellcare
| Facility | $147,910.84 | $147,910.84 | $147,910.84 | |
Wellcare
| Professional | $2,089.30 | $2,089.30 | $2,089.30 |