| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Professional | $224.30 | $304.94 | $829.21 |
Ant Segment Insert Drain W/O Reservoir Ea Addl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Professional | $224.30 | $304.94 | $829.21 |