| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $52.00 | $164.76 | $236.89 |
Radex Cplx Motion Bdy Sctj Oth/Thn Urograpy Uni
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $52.00 | $164.76 | $236.89 |