| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $1,014.44 | $8,138.20 | $26,542.00 | |
Lucent Health
| Professional | $1,930.78 | $2,625.27 | $2,625.27 |
Tissue Grafts Other
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $1,014.44 | $8,138.20 | $26,542.00 | |
Lucent Health
| Professional | $1,930.78 | $2,625.27 | $2,625.27 |