| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $20.67 | $39.67 | $157.81 | |
Molina
| Facility | $16.67 | $51.12 | $891.37 |
Laboratory
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $20.67 | $39.67 | $157.81 | |
Molina
| Facility | $16.67 | $51.12 | $891.37 |