| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Professional | $144.31 | $163.86 | $442.93 |
Rev/Rem Cartd Sins Barreflx Act Dev Pls Gen Only
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Professional | $144.31 | $163.86 | $442.93 |