| 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 | |
Providence
| Professional | $1,513.56 | $1,513.56 | $1,513.56 | |
United
| Facility | $43,651.58 | $43,651.58 | $43,651.58 | |
United
| Professional | $93.33 | $125.89 | $199.53 |