| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $40.98 | $1,225.19 | $23,167.76 | |
United
| Facility | $4,000.00 | $4,000.00 | $4,000.00 |
Medical/Surgical Supplies and Devices - Other Implants
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $40.98 | $1,225.19 | $23,167.76 | |
United
| Facility | $4,000.00 | $4,000.00 | $4,000.00 |