| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Professional | $84.74 | $270.45 | $435.80 |
Ant Segment Insert Drain W/O Reservoir Ea Addl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Professional | $84.74 | $270.45 | $435.80 |