| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $393.13 | $393.13 | $471.01 |
Ant Segment Insertion Drainage W/O Reservoir Int
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $393.13 | $393.13 | $471.01 |