| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $134.40 | $603.90 | $603.90 | |
Lucent Health
| Professional | $295.68 | $295.68 | $295.68 |
Puraply or puraply am
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $134.40 | $603.90 | $603.90 | |
Lucent Health
| Professional | $295.68 | $295.68 | $295.68 |