| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
AmeriHealth
| Professional | $53.70 | $53.70 | $53.70 | |
Horizon BCBS
| Professional | $114.82 | $134.90 | $223.87 | |
United
| Facility | $37.15 | $87.10 | $123.03 | |
United
| Professional | $117.49 | $158.49 | $199.53 |