| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Oscar Health
| Professional | $1,173.70 | $1,173.70 | $1,173.70 |
Ant Segment Insertion Drainage W/O Reservoir Int
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Oscar Health
| Professional | $1,173.70 | $1,173.70 | $1,173.70 |