| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $16,218.10 | $16,218.10 | $16,218.10 | |
Lucent Health
| Professional | $1,819.70 | $1,819.70 | $1,819.70 | |
United
| Facility | $1,071.52 | $2,344.23 | $3,162.28 | |
United
| Professional | $371.54 | $537.03 | $741.31 |