| 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 | $4.47 | $4.47 | $4.47 | |
United
| Facility | $5.13 | $5.13 | $5.13 | |
United
| Professional | $5.25 | $5.25 | $5.50 |