| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Emblem Health
| Professional | $1,248.69 | $1,248.69 | $1,248.69 | |
Horizon BCBS
| Facility | $109,405.24 | $109,405.24 | $208,646.79 | |
Horizon BCBS
| Professional | $95.44 | $117.71 | $229.21 | |
United
| Professional | $112.80 | $201.13 | $967.54 |