| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $1,071.52 | $1,071.52 | $1,071.52 | |
Lucent Health
| Professional | $1,479.11 | $1,479.11 | $1,621.81 |
Rad S&I Perq Vrtpls/Sacrplsty Per Vrt Body Ct
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $1,071.52 | $1,071.52 | $1,071.52 | |
Lucent Health
| Professional | $1,479.11 | $1,479.11 | $1,621.81 |