| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
AmeriHealth
| Facility | $0.31 | $0.31 | $0.31 | |
Horizon BCBS
| Facility | $0.18 | $13,785.00 | $13,785.00 | |
Horizon BCBS
| Professional | $0.26 | $0.33 | $0.33 | |
United
| Professional | $0.24 | $0.24 | $0.24 |