| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $240.45 | $861.30 | $1,752.95 | |
Qualchoice
| Facility | $553.16 | $998.58 | $1,887.13 | |
United
| Facility | $5,000.00 | $5,000.00 | $5,000.00 |
Medical/Surgical Supplies and Devices-Other Implants
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $240.45 | $861.30 | $1,752.95 | |
Qualchoice
| Facility | $553.16 | $998.58 | $1,887.13 | |
United
| Facility | $5,000.00 | $5,000.00 | $5,000.00 |