| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $3,560.26 | $3,560.26 | $3,891.52 |
Revj Gastroduol Anast W/Rcnstj W/Vgtmy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $3,560.26 | $3,560.26 | $3,891.52 |