| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Facility | $2,373.60 | $2,616.80 | $3,660.80 |
Anesthesiologist (Md) Professional Fee
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Facility | $2,373.60 | $2,616.80 | $3,660.80 |