| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $4,466.84 | $5,011.87 | $5,011.87 | |
Lucent Health
| Professional | $8,709.64 | $8,709.64 | $8,709.64 | |
United
| Facility | $1,071.52 | $2,344.23 | $3,162.28 | |
United
| Professional | $1,819.70 | $2,754.23 | $4,168.69 |