| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $87.52 | $758.46 | $4,584.89 | |
Medica
| Facility | $298.14 | $1,750.00 | $2,000.00 | |
United
| Facility | $1,750.00 | $1,750.00 | $2,000.00 |
Medical/Surgical Supplies and Devices - Other Implants
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $87.52 | $758.46 | $4,584.89 | |
Medica
| Facility | $298.14 | $1,750.00 | $2,000.00 | |
United
| Facility | $1,750.00 | $1,750.00 | $2,000.00 |