| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $794.33 | $794.33 | $794.33 | |
Lucent Health
| Professional | $229.09 | $229.09 | $229.09 | |
United
| Facility | $1,071.52 | $2,344.23 | $3,162.28 | |
United
| Professional | $56.23 | $81.28 | $112.20 |