| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $1,174.90 | $3,890.45 | $4,168.69 | |
United
| Professional | $380.19 | $562.34 | $776.25 | |
Wellcare
| Facility | $954.99 | $954.99 | $954.99 | |
Wellcare
| Professional | $1,659.59 | $1,659.59 | $1,659.59 |