| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $190.55 | $204.17 | $269.15 | |
United
| Professional | $158.49 | $223.87 | $457.09 | |
Wellcare
| Facility | $6,606.93 | $6,606.93 | $6,606.93 | |
Wellcare
| Professional | $6,309.57 | $10,471.29 | $10,471.29 |