| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $354.81 | $1,862.09 | $7,413.10 | |
United
| Facility | $5,011.87 | $5,011.87 | $5,011.87 |
Medical/Surgical Supplies and Devices - Other Implants
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $354.81 | $1,862.09 | $7,413.10 | |
United
| Facility | $5,011.87 | $5,011.87 | $5,011.87 |