| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Christus
| Facility | $97.72 | $97.72 | $97.72 | |
Lucent Health
| Facility | $1,318.26 | $3,467.37 | $3,467.37 |
Loa - Reserved
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Christus
| Facility | $97.72 | $97.72 | $97.72 | |
Lucent Health
| Facility | $1,318.26 | $3,467.37 | $3,467.37 |