| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $633.41 | $1,676.58 | $6,683.61 | |
Medica
| Facility | $90.00 | $800.77 | $3,501.92 | |
United
| Facility | $20,000.00 | $20,000.00 | $20,000.00 |
Medical/Surgical Supplies and Devices-Other Implants
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $633.41 | $1,676.58 | $6,683.61 | |
Medica
| Facility | $90.00 | $800.77 | $3,501.92 | |
United
| Facility | $20,000.00 | $20,000.00 | $20,000.00 |