| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $425.00 | $425.00 | $425.00 | |
Molina
| Facility | $2,522.00 | $2,522.00 | $2,522.00 |
Professional Fees - Clinic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $425.00 | $425.00 | $425.00 | |
Molina
| Facility | $2,522.00 | $2,522.00 | $2,522.00 |