| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $240.11 | $2,379.35 | $2,379.35 | |
Lucent Health
| Professional | $461.27 | $528.75 | $528.75 | |
Oscar Health
| Professional | $302.70 | $302.70 | $302.70 |
Njx Tfrml Eprl W/Us Cer/Tho
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $240.11 | $2,379.35 | $2,379.35 | |
Lucent Health
| Professional | $461.27 | $528.75 | $528.75 | |
Oscar Health
| Professional | $302.70 | $302.70 | $302.70 |