| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $72.42 | $425.53 | $2,000.95 | |
United
| Facility | $750.00 | $750.00 | $750.00 |
Medical/Surgical Supplies and Devices - Other Implants
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $72.42 | $425.53 | $2,000.95 | |
United
| Facility | $750.00 | $750.00 | $750.00 |