| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $92.34 | $243.60 | $358.28 | |
Lucent Health
| Professional | $246.00 | $246.00 | $246.00 |
Ffs - Not Available
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $92.34 | $243.60 | $358.28 | |
Lucent Health
| Professional | $246.00 | $246.00 | $246.00 |