| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Emblem Health
| Professional | $217.71 | $217.71 | $217.71 | |
Horizon BCBS
| Facility | $7,565.70 | $8,360.91 | $15,945.14 | |
Horizon BCBS
| Professional | $540.79 | $653.20 | $1,129.05 | |
United
| Professional | $153.97 | $731.31 | $1,977.16 |