| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | $776.25 | $776.25 | $776.25 | |
Lucent Health
| Facility | $38,018.94 | $38,018.94 | $38,018.94 | |
Lucent Health
| Professional | $6,456.54 | $7,585.78 | $7,585.78 | |
United
| Facility | $3,981.07 | $4,168.69 | $7,585.78 | |
United
| Professional | $398.11 | $676.08 | $1,412.54 |