| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Emblem Health
| Professional | $145.10 | $170.71 | $170.71 | |
Horizon BCBS
| Facility | $8,702.00 | $13,785.00 | $13,785.00 | |
Horizon BCBS
| Professional | $154.50 | $170.71 | $170.71 | |
United
| Professional | $199.56 | $199.56 | $211.53 |