| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Horizon BCBS
| Facility | $138.04 | $11,481.54 | $25,703.96 | |
Horizon BCBS
| Professional | $2,290.87 | $2,290.87 | $2,951.21 | |
United
| Facility | $1,380.38 | $1,380.38 | $2,951.21 | |
United
| Professional | $1,202.26 | $1,737.80 | $3,801.89 |