| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $53.25 | $53.25 | $64.16 | |
Emblem Health
| Professional | $64,999.35 | $64,999.35 | $64,999.35 | |
MVP Health Care
| Facility | $64.16 | $64.16 | $64.16 | |
MVP Health Care
| Professional | $21.12 | $23.00 | $25.30 |