| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $10,964.78 | $10,964.78 | $10,964.78 | |
Lucent Health
| Professional | $3,467.37 | $3,467.37 | $3,467.37 | |
United
| Facility | $2,754.23 | $3,467.37 | $4,073.80 | |
United
| Professional | $537.03 | $831.76 | $1,202.26 |