| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $602.61 | $1,939.49 | $8,649.86 | |
Oscar Health
| Facility | $3,725.00 | $6,356.47 | $11,538.98 | |
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 | $602.61 | $1,939.49 | $8,649.86 | |
Oscar Health
| Facility | $3,725.00 | $6,356.47 | $11,538.98 | |
United
| Facility | $5,000.00 | $5,000.00 | $5,000.00 |