| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $746.85 | $839.09 | $26,542.00 | |
Lucent Health
| Professional | $3,601.95 | $9,427.81 | $9,427.81 |
Thrmbc Prq Arven Fstl Autog/Nonautog Grf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $746.85 | $839.09 | $26,542.00 | |
Lucent Health
| Professional | $3,601.95 | $9,427.81 | $9,427.81 |