| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Professional | $171.54 | $220.55 | $408.29 |
Ant Segment Insert Drain W/O Reservoir Ea Addl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Professional | $171.54 | $220.55 | $408.29 |