| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
AmeriHealth
| Facility | $9.33 | $38.90 | $60.26 | |
Horizon BCBS
| Facility | $100.00 | $11,481.54 | $25,703.96 | |
Horizon BCBS
| Professional | $8.13 | $8.13 | $8.13 | |
United
| Facility | $8.32 | $12.02 | $12.30 | |
United
| Professional | $5.89 | $5.89 | $6.03 |