| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $22,599.20 | $22,599.20 | $54,276.01 |
Oth Injury,Poison&Toxic Effect Dx W Cc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $22,599.20 | $22,599.20 | $54,276.01 |