| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
AmeriHealth
| Facility | $3,162.28 | $3,162.28 | $3,548.13 | |
Horizon BCBS
| Facility | $1,258.93 | $1,949.84 | $2,691.53 | |
Horizon BCBS
| Professional | $316.23 | $446.68 | $812.83 | |
United
| Professional | $269.15 | $446.68 | $776.25 |