| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $147.91 | $147.91 | $147.91 | |
Horizon BCBS
| Facility | $5.50 | $42.66 | $1,174.90 | |
United
| Facility | $501.19 | $5,011.87 | $5,011.87 |
Medical/Surgical Supplies and Devices-Prosthetic/Orthotic Devices
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $147.91 | $147.91 | $147.91 | |
Horizon BCBS
| Facility | $5.50 | $42.66 | $1,174.90 | |
United
| Facility | $501.19 | $5,011.87 | $5,011.87 |