| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Emblem Health
| Professional | $120.23 | $120.23 | $120.23 | |
Horizon BCBS
| Facility | $48.05 | $57.35 | $113.53 | |
Horizon BCBS
| Professional | $69.47 | $100.03 | $156.72 | |
United
| Professional | $63.51 | $87.82 | $164.20 |