| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $34.88 | $34.88 | $874.13 | |
Medica
| Facility | $91.04 | $1,891.20 | $5,000.00 | |
United
| Facility | $2,000.00 | $5,000.00 | $5,000.00 |
Medical/Surgical Supplies and Devices-Other Implants
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $34.88 | $34.88 | $874.13 | |
Medica
| Facility | $91.04 | $1,891.20 | $5,000.00 | |
United
| Facility | $2,000.00 | $5,000.00 | $5,000.00 |