| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $708.62 | $708.62 | $849.01 | |
Horizon BCBS
| Facility | $656.14 | $13,785.00 | $13,785.00 | |
Horizon BCBS
| Professional | $1,176.69 | $3,102.50 | $3,102.50 |
Corplex P, per cc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $708.62 | $708.62 | $849.01 | |
Horizon BCBS
| Facility | $656.14 | $13,785.00 | $13,785.00 | |
Horizon BCBS
| Professional | $1,176.69 | $3,102.50 | $3,102.50 |