| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Horizon BCBS
| Facility | $134.90 | $10,471.29 | $25,703.96 | |
Horizon BCBS
| Professional | $436.52 | $446.68 | $457.09 | |
United
| Facility | $213.80 | $213.80 | $446.68 | |
United
| Professional | $190.55 | $269.15 | $549.54 |