| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
AmeriHealth
| Facility | $429.76 | $429.76 | $429.76 | |
AmeriHealth
| Professional | $59.36 | $59.36 | $59.36 | |
Horizon BCBS
| Facility | $82.13 | $83.45 | $182.19 | |
Horizon BCBS
| Professional | $29.77 | $35.02 | $41.20 | |
United
| Professional | $25.96 | $25.96 | $25.96 |