| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $676.08 | $676.08 | $676.08 | |
Lucent Health
| Professional | $707.95 | $1,071.52 | $1,071.52 | |
United
| Facility | $51.29 | $141.25 | $141.25 | |
United
| Professional | $67.61 | $85.11 | $128.82 |