| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Health Alliance Plan
| Facility | $830.27 | $830.27 | $830.27 | |
Molina
| Professional | $30.00 | $30.00 | $100.00 |
Unlisted Nervous System Px Dx Nuclear Medicine
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Health Alliance Plan
| Facility | $830.27 | $830.27 | $830.27 | |
Molina
| Professional | $30.00 | $30.00 | $100.00 |