| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $189.90 | $339.00 | $349.00 | |
Lucent Health
| Professional | $627.00 | $627.00 | $627.00 | |
Oscar Health
| Professional | $74.40 | $74.40 | $74.40 |
Indic Dil Std Artl&/Or Ven Cathj W/Outp Meas
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $189.90 | $339.00 | $349.00 | |
Lucent Health
| Professional | $627.00 | $627.00 | $627.00 | |
Oscar Health
| Professional | $74.40 | $74.40 | $74.40 |