| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Horizon BCBS
| Facility | $125.89 | $11,481.54 | $25,118.86 | |
Horizon BCBS
| Professional | $9.33 | $9.33 | $9.33 | |
United
| Facility | $6.03 | $17.78 | $19.05 | |
United
| Professional | $10.96 | $10.96 | $11.48 |