| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $45.00 | $60.00 | $60.00 |
Unlisted Procedure Therapeutic Radiology Tx Mgmt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $45.00 | $60.00 | $60.00 |