| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Professional | $143.18 | $143.18 | $197.06 | |
United
| Professional | $472.31 | $564.04 | $669.21 |
Im/Repl Cartd Sins Barreflx Act Dev Pls Gen Only
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Professional | $143.18 | $143.18 | $197.06 | |
United
| Professional | $472.31 | $564.04 | $669.21 |