| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Professional | $352.26 | $423.63 | $569.50 |
Im/Repl Cartd Sins Barreflx Act Dev Pls Gen Only
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Professional | $352.26 | $423.63 | $569.50 |