| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $27.54 | $39.81 | $64.57 | |
Molina
| Facility | $19.95 | $51.29 | $724.44 |
Laboratory-Urology
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $27.54 | $39.81 | $64.57 | |
Molina
| Facility | $19.95 | $51.29 | $724.44 |