| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $239,883.29 | $239,883.29 | $239,883.29 | |
Lucent Health
| Professional | $6,165.95 | $7,413.10 | $7,413.10 | |
United
| Facility | $9,332.54 | $10,715.19 | $22,387.21 | |
United
| Professional | $114.82 | $169.82 | $263.03 |