| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $3,548.13 | $7,413.10 | $11,748.98 | |
United
| Professional | $512.86 | $794.33 | $1,122.02 | |
Wellcare
| Facility | $10,715.19 | $10,715.19 | $10,715.19 | |
Wellcare
| Professional | $3,162.28 | $3,162.28 | $3,162.28 |