| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
AmeriHealth
| Facility | $9,470.60 | $9,470.60 | $9,470.60 | |
AmeriHealth
| Professional | $801.99 | $978.88 | $978.88 | |
Cigna
| Professional | $2,441.26 | $2,924.90 | $3,521.66 | |
Horizon BCBS
| Professional | $610.10 | $844.43 | $1,382.38 |