| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Emblem Health
| Professional | $465.95 | $465.95 | $465.95 | |
Horizon BCBS
| Facility | $74,087.41 | $131,491.91 | $141,292.14 | |
Horizon BCBS
| Professional | $291.58 | $343.05 | $606.65 | |
United
| Professional | $303.72 | $401.79 | $996.81 |