| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $67,130.35 | $67,130.35 | $67,130.35 |
No Longer Valid
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $67,130.35 | $67,130.35 | $67,130.35 |