| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Professional | $226.47 | $328.30 | $453.55 |
Ant Segment Insert Drain W/O Reservoir Ea Addl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Professional | $226.47 | $328.30 | $453.55 |