| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $144,543.98 | $144,543.98 | $144,543.98 | |
Lucent Health
| Professional | $1,023.29 | $1,023.29 | $1,023.29 | |
United
| Facility | $1,071.52 | $2,344.23 | $3,162.28 | |
United
| Professional | $257.04 | $371.54 | $524.81 |