| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $14.21 | $17.10 | $26.41 | |
Emblem Health
| Professional | $58.62 | $81.97 | $96.92 | |
MVP Health Care
| Facility | $555.00 | $597.00 | $74,999.25 | |
MVP Health Care
| Professional | $16.00 | $16.00 | $16.00 | |
Univera
| Facility | $11.51 | $11.51 | $11.51 | |
Univera
| Professional | $11.51 | $11.51 | $14.78 |