| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $60.00 | $85.00 | $1,491.30 | |
United
| Professional | $135.47 | $177.01 | $263.83 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $60.00 | $85.00 | $1,491.30 | |
United
| Professional | $135.47 | $177.01 | $263.83 |