| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $4.00 | $140.94 | $4,566.25 | |
BCBS
| Facility | $30.51 | $372.11 | $1,621.66 | |
United
| Facility | $1,189.00 | $1,253.00 | $5,000.00 |
Medical/Surgical Supplies and Devices-Prosthetic/Orthotic Devices
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $4.00 | $140.94 | $4,566.25 | |
BCBS
| Facility | $30.51 | $372.11 | $1,621.66 | |
United
| Facility | $1,189.00 | $1,253.00 | $5,000.00 |