| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $10,715.19 | $10,715.19 | $10,715.19 | |
Lucent Health
| Professional | $2,884.03 | $2,884.03 | $2,884.03 | |
United
| Facility | $3,311.31 | $3,467.37 | $4,073.80 | |
United
| Professional | $741.31 | $1,096.48 | $1,479.11 |