| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Wellpoint
| Professional | $13.34 | $13.34 | $13.34 |
Inpt implant pros dev,no cov
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Wellpoint
| Professional | $13.34 | $13.34 | $13.34 |