| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $363.08 | $707.95 | $1,096.48 | |
United
| Professional | $199.53 | $302.00 | $416.87 | |
Wellcare
| Facility | $501.19 | $501.19 | $501.19 | |
Wellcare
| Professional | $851.14 | $851.14 | $851.14 |