| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $85.00 | $90.00 | $90.00 | |
Moda Health
| Facility | $15.25 | $28.14 | $37.40 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $85.00 | $90.00 | $90.00 | |
Moda Health
| Facility | $15.25 | $28.14 | $37.40 |