| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $32.36 | $186.21 | $616.60 | |
United
| Facility | $758.58 | $758.58 | $758.58 |
Medical/Surgical Supplies and Devices-Prosthetic/Orthotic Devices
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $32.36 | $186.21 | $616.60 | |
United
| Facility | $758.58 | $758.58 | $758.58 |