| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Facility | $1,350.00 | $3,242.00 | $5,000.00 |
Del - Gastro Intestinal Services - Other Gastro-Intestinal
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Facility | $1,350.00 | $3,242.00 | $5,000.00 |