| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $3,250.02 | $3,250.02 | $3,552.41 |
U-Tube Hepaticoenterostomy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $3,250.02 | $3,250.02 | $3,552.41 |