| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $335.06 | $593.50 | $593.50 | |
Lucent Health
| Professional | $639.41 | $665.33 | $665.33 |
Contrst X-Ray Uppr Gi Tract
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $335.06 | $593.50 | $593.50 | |
Lucent Health
| Professional | $639.41 | $665.33 | $665.33 |