| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $1,174.90 | $3,890.45 | $4,168.69 | |
United
| Professional | $1,479.11 | $1,862.09 | $3,630.78 | |
Wellcare
| Facility | $3,090.30 | $3,090.30 | $3,090.30 | |
Wellcare
| Professional | $7,943.28 | $7,943.28 | $7,943.28 |