| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Emblem Health
| Professional | $904.56 | $904.56 | $904.56 | |
Horizon BCBS
| Facility | $20,343.41 | $22,481.67 | $25,561.01 | |
Horizon BCBS
| Professional | $919.39 | $1,243.27 | $2,211.78 | |
United
| Professional | $482.18 | $1,160.29 | $2,566.82 |