| 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 | $5,128.61 | $5,128.61 | $5,128.61 | |
United
| Professional | $537.03 | $758.58 | $1,202.26 |