| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $395.51 | $796.31 | $1,983.38 | |
Medical Mutual of Ohio
| Facility | $38.70 | $877.91 | $3,455.46 | |
United
| Facility | $1,800.00 | $5,000.00 | $5,248.00 |
Medical/Surgical Supplies and Devices-Other Implants
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $395.51 | $796.31 | $1,983.38 | |
Medical Mutual of Ohio
| Facility | $38.70 | $877.91 | $3,455.46 | |
United
| Facility | $1,800.00 | $5,000.00 | $5,248.00 |