| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Emblem Health
| Professional | $101.62 | $101.62 | $101.62 | |
Horizon BCBS
| Facility | $317.11 | $725.43 | $8,702.00 | |
Horizon BCBS
| Professional | $58.34 | $83.82 | $130.16 | |
United
| Professional | $52.72 | $78.89 | $145.94 |