| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $10,715.19 | $10,715.19 | $10,715.19 | |
Lucent Health
| Professional | $1,318.26 | $1,380.38 | $1,380.38 | |
United
| Facility | $2,754.23 | $3,467.37 | $4,073.80 | |
United
| Professional | $114.82 | $169.82 | $263.03 |