| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Professional | $145.47 | $145.47 | $145.47 | |
Molina
| Professional | $30.00 | $30.00 | $78.00 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Professional | $145.47 | $145.47 | $145.47 | |
Molina
| Professional | $30.00 | $30.00 | $78.00 |