| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
AmeriHealth
| Facility | $398.36 | $398.36 | $398.36 | |
AmeriHealth
| Professional | $27.78 | $27.78 | $33.00 | |
Cigna
| Professional | $3.46 | $3.46 | $3.46 | |
Horizon BCBS
| Facility | $301.64 | $8,702.00 | $13,785.00 | |
Horizon BCBS
| Professional | $21.86 | $68.65 | $68.65 |