| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $13,803.84 | $13,803.84 | $13,803.84 | |
Lucent Health
| Professional | $3,019.95 | $3,019.95 | $3,019.95 | |
United
| Facility | $3,311.31 | $3,467.37 | $4,073.80 | |
United
| Professional | $309.03 | $457.09 | $630.96 |