| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $478.63 | $1,380.38 | $1,949.84 | |
United
| Facility | $2,511.89 | $2,511.89 | $3,019.95 |
Medical/Surgical Supplies and Devices - Other Implants
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $478.63 | $1,380.38 | $1,949.84 | |
United
| Facility | $2,511.89 | $2,511.89 | $3,019.95 |