| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,583.00 | $8,007.00 | $16,083.00 | |
MVP Health Care
| Facility | $60,516.00 | $60,516.00 | $87,831.00 | |
MVP Health Care
| Professional | $10,029.76 | $10,029.76 | $10,029.76 |