| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $112.20 | $851.14 | $5,495.41 | |
United
| Facility | $758.58 | $758.58 | $758.58 |
Medical/Surgical Supplies and Devices - Other Implants
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $112.20 | $851.14 | $5,495.41 | |
United
| Facility | $758.58 | $758.58 | $758.58 |