| 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 | |
Providence
| Professional | $281.84 | $281.84 | $281.84 | |
United
| Facility | $28,840.32 | $28,840.32 | $28,840.32 | |
United
| Professional | $257.04 | $363.08 | $575.44 |