| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $141.25 | $489.78 | $3,311.31 | |
Medica
| Facility | $295.12 | $1,737.80 | $1,995.26 | |
United
| Facility | $1,737.80 | $1,737.80 | $1,995.26 |
Medical/Surgical Supplies and Devices - Other Implants
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $141.25 | $489.78 | $3,311.31 | |
Medica
| Facility | $295.12 | $1,737.80 | $1,995.26 | |
United
| Facility | $1,737.80 | $1,737.80 | $1,995.26 |