| 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 | $1,479.11 | $1,479.11 | $1,479.11 | |
United
| Facility | $1,071.52 | $2,344.23 | $3,162.28 | |
United
| Professional | $309.03 | $407.38 | $630.96 |