| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $781.25 | $937.50 | $1,054.68 |
Trnsxj Esoph W/Rpr Esophageal Varices
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $781.25 | $937.50 | $1,054.68 |