| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Emblem Health
| Professional | $95.10 | $95.10 | $95.10 | |
Horizon BCBS
| Professional | $83.86 | $116.60 | $152.91 |
Ffs - Not Available
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Emblem Health
| Professional | $95.10 | $95.10 | $95.10 | |
Horizon BCBS
| Professional | $83.86 | $116.60 | $152.91 |