| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $251.19 | $251.19 | $251.19 | |
Lucent Health
| Professional | $407.38 | $407.38 | $407.38 | |
United
| Facility | $1,071.52 | $2,344.23 | $3,162.28 | |
United
| Professional | $199.53 | $309.03 | $426.58 |