| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
AmeriHealth
| Facility | $33,886.98 | $33,886.98 | $33,886.98 | |
Horizon BCBS
| Facility | $2,221.63 | $13,785.00 | $13,785.00 | |
Horizon BCBS
| Professional | $2,221.63 | $2,221.63 | $2,221.63 | |
United
| Facility | $2,469.36 | $2,469.36 | $3,013.00 |