| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $5,011.87 | $6,606.93 | $6,606.93 | |
Lucent Health
| Professional | $10,715.19 | $10,715.19 | $10,715.19 | |
United
| Facility | $1,071.52 | $2,344.23 | $3,162.28 | |
United
| Professional | $1,513.56 | $2,137.96 | $3,311.31 |