| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $17,378.01 | $17,378.01 | $17,378.01 | |
Lucent Health
| Professional | $4,168.69 | $4,365.16 | $4,365.16 | |
United
| Facility | $4,786.30 | $5,128.61 | $7,413.10 | |
United
| Professional | $645.65 | $1,000.00 | $1,513.56 |