| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Professional | $159.63 | $187.80 | $261.77 |
Rev/Rem Cartd Sins Barreflx Act Dev Pls Gen Only
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Professional | $159.63 | $187.80 | $261.77 |