| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $29,649.00 | $64,123.16 | $95,816.00 |
Insj/Rplcmt Perm Dfb W/Trnsvns Lds 1/Dual Chmbr
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $29,649.00 | $64,123.16 | $95,816.00 |