| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Emblem Health
| Professional | $80.36 | $80.36 | $80.36 | |
Horizon BCBS
| Facility | $41.55 | $306.98 | $8,702.00 | |
Horizon BCBS
| Professional | $43.95 | $63.95 | $101.78 | |
United
| Professional | $39.76 | $57.74 | $108.33 |