| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $26,915.35 | $26,915.35 | $26,915.35 | |
Lucent Health
| Professional | $53,703.18 | $53,703.18 | $53,703.18 | |
United
| Professional | $9,772.37 | $10,232.93 | $10,232.93 |