| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $3,525.07 | $3,525.07 | $3,853.05 |
Obltrj Aortopulmonary Septal Defect W/O Bypass
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $3,525.07 | $3,525.07 | $3,853.05 |