| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $338.84 | $338.84 | $338.84 | |
AmeriHealth
| Facility | $436.52 | $3,235.94 | $9,549.93 | |
Emblem Health
| Facility | $45,708.82 | $45,708.82 | $57,543.99 | |
Horizon BCBS
| Facility | $5.50 | $43.65 | $1,258.93 | |
United
| Facility | $501.19 | $5,011.87 | $5,011.87 |