| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $331.10 | $1,459.49 | $19,915.81 | |
BCBS
| Facility | $123.73 | $686.49 | $2,108.09 | |
Medica
| Facility | $124.75 | $535.89 | $1,711.39 |
Medical/Surgical Supplies and Devices-Other Implants
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $331.10 | $1,459.49 | $19,915.81 | |
BCBS
| Facility | $123.73 | $686.49 | $2,108.09 | |
Medica
| Facility | $124.75 | $535.89 | $1,711.39 |