| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $407.38 | $457.09 | $457.09 | |
Lucent Health
| Professional | $812.83 | $812.83 | $812.83 | |
United
| Facility | $1,071.52 | $2,344.23 | $3,162.28 | |
United
| Professional | $31.62 | $41.69 | $61.66 |