| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $255.48 | $255.48 | $431.67 | |
Lucent Health
| Professional | $616.66 | $616.66 | $616.66 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $255.48 | $255.48 | $431.67 | |
Lucent Health
| Professional | $616.66 | $616.66 | $616.66 |