| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $46.77 | $204.17 | $724.44 | |
Molina
| Facility | $17.78 | $104.71 | $1,148.15 |
Laboratory-Other Laboratory
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $46.77 | $204.17 | $724.44 | |
Molina
| Facility | $17.78 | $104.71 | $1,148.15 |