| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $278.89 | $445.11 | $966.72 | |
United
| Facility | $7,000.00 | $7,000.00 | $7,000.00 |
Medical/Surgical Supplies and Devices-Other Implants
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $278.89 | $445.11 | $966.72 | |
United
| Facility | $7,000.00 | $7,000.00 | $7,000.00 |