| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $4,570.88 | $4,570.88 | $4,570.88 | |
Lucent Health
| Professional | $5,370.32 | $5,370.32 | $5,370.32 | |
United
| Facility | $1,071.52 | $2,344.23 | $3,162.28 | |
United
| Professional | $1,548.82 | $2,187.76 | $3,090.30 |