| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
AmeriHealth
| Facility | $4.27 | $8.51 | $27.54 | |
Horizon BCBS
| Facility | $7.41 | $11,481.54 | $25,703.96 | |
Horizon BCBS
| Professional | $3.24 | $3.24 | $3.24 | |
United
| Facility | $5.62 | $5.62 | $6.46 | |
United
| Professional | $2.69 | $2.69 | $2.75 |