| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $113.14 | $166.78 | $280.33 | |
AmeriHealth
| Facility | $245.70 | $245.70 | $575.10 | |
Horizon BCBS
| Facility | $153.00 | $153.00 | $153.00 |
Other Therapeutic Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $113.14 | $166.78 | $280.33 | |
AmeriHealth
| Facility | $245.70 | $245.70 | $575.10 | |
Horizon BCBS
| Facility | $153.00 | $153.00 | $153.00 |