| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $837.80 | $837.80 | $915.76 |
Cstotomy/Cstost Cryosurg Dstrj Intravesical Les
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $837.80 | $837.80 | $915.76 |