| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $32,359.37 | $32,359.37 | $32,359.37 | |
Lucent Health
| Professional | $32,359.37 | $32,359.37 | $32,359.37 | |
United
| Facility | $125.89 | $125.89 | $125.89 | |
United
| Professional | $63.10 | $83.18 | $131.83 |