| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $302.00 | $812.83 | $3,388.44 | |
Medica
| Facility | $91.20 | $1,905.46 | $5,011.87 | |
United
| Facility | $1,995.26 | $5,011.87 | $5,011.87 |
Medical/Surgical Supplies and Devices - Other Implants
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $302.00 | $812.83 | $3,388.44 | |
Medica
| Facility | $91.20 | $1,905.46 | $5,011.87 | |
United
| Facility | $1,995.26 | $5,011.87 | $5,011.87 |