| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $151,356.12 | $151,356.12 | $151,356.12 | |
Lucent Health
| Professional | $1,995.26 | $1,995.26 | $1,995.26 | |
United
| Facility | $9,332.54 | $10,715.19 | $22,387.21 | |
United
| Professional | $316.23 | $478.63 | $707.95 |