| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $5,011.87 | $5,248.07 | $5,248.07 | |
Lucent Health
| Professional | $11,220.18 | $11,220.18 | $11,220.18 | |
United
| Facility | $1,071.52 | $2,344.23 | $3,162.28 | |
United
| Professional | $1,230.27 | $1,862.09 | $2,630.27 |