| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $257.99 | $277.10 | $468.20 | |
Lucent Health
| Professional | $668.85 | $668.85 | $668.85 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $257.99 | $277.10 | $468.20 | |
Lucent Health
| Professional | $668.85 | $668.85 | $668.85 |