| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Emblem Health
| Professional | $664.78 | $739.81 | $1,184.00 | |
Horizon BCBS
| Facility | $12,564.67 | $12,564.67 | $17,702.16 | |
Horizon BCBS
| Professional | $720.00 | $870.95 | $1,729.58 | |
United
| Professional | $611.99 | $1,000.96 | $2,415.13 |