| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
AmeriHealth
| Facility | $11,055.20 | $11,055.20 | $11,055.20 | |
AmeriHealth
| Professional | $244.21 | $347.40 | $347.40 | |
Cigna
| Professional | $1,485.31 | $1,779.57 | $2,142.65 | |
Horizon BCBS
| Professional | $367.48 | $523.88 | $874.68 |