| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $3,090.30 | $3,090.30 | $3,090.30 | |
Lucent Health
| Professional | $7,943.28 | $7,943.28 | $7,943.28 | |
United
| Facility | $1,071.52 | $2,344.23 | $3,162.28 | |
United
| Professional | $1,548.82 | $2,041.74 | $3,019.95 |