| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $630.96 | $630.96 | $630.96 | |
Lucent Health
| Professional | $645.65 | $645.65 | $645.65 |
Radj Dlvr 2 Areas 3/>Ports 1 Mlt Blks 6-1Mev
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $630.96 | $630.96 | $630.96 | |
Lucent Health
| Professional | $645.65 | $645.65 | $645.65 |