| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Emblem Health
| Professional | $217.71 | $217.71 | $217.71 | |
Horizon BCBS
| Facility | $7,662.56 | $8,360.91 | $15,945.14 | |
Horizon BCBS
| Professional | $95.44 | $120.83 | $202.79 | |
United
| Professional | $109.70 | $162.62 | $305.88 |