| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Horizon BCBS
| Facility | $5,623.41 | $6,309.57 | $6,309.57 | |
Horizon BCBS
| Professional | $2.04 | $2.04 | $2.04 | |
United
| Facility | $1.86 | $1.86 | $1.86 | |
United
| Professional | $2.40 | $2.40 | $2.51 |