| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $95.50 | $95.50 | $95.50 | |
Christus
| Facility | $28.18 | $40.74 | $40.74 | |
United
| Facility | $2,511.89 | $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 | $95.50 | $95.50 | $95.50 | |
Christus
| Facility | $28.18 | $40.74 | $40.74 | |
United
| Facility | $2,511.89 | $5,011.87 | $5,011.87 |