| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $170.13 | $294.30 | $294.30 | |
Lucent Health
| Professional | $352.35 | $352.35 | $352.35 |
Indiv Phys Supvj Home/Dom/R-Home Mo 15-29 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $170.13 | $294.30 | $294.30 | |
Lucent Health
| Professional | $352.35 | $352.35 | $352.35 |