| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $1,174.90 | $3,890.45 | $4,168.69 | |
United
| Professional | $354.81 | $537.03 | $741.31 | |
Wellcare
| Facility | $23,442.29 | $23,442.29 | $23,442.29 | |
Wellcare
| Professional | $1,584.89 | $1,584.89 | $1,584.89 |