| 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 | $81.28 | $81.28 | $81.28 | |
United
| Facility | $102.33 | $102.33 | $102.33 | |
United
| Professional | $91.20 | $91.20 | $95.50 |