| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $426.58 | $426.58 | $426.58 | |
Lucent Health
| Professional | $524.81 | $524.81 | $524.81 | |
Oscar Health
| Professional | $218.78 | $257.04 | $275.42 |
Radj Dlvr 1 Area 1/Prll Opsd Ports Smpl 11-19Mev
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $426.58 | $426.58 | $426.58 | |
Lucent Health
| Professional | $524.81 | $524.81 | $524.81 | |
Oscar Health
| Professional | $218.78 | $257.04 | $275.42 |