| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $22.50 | $30.00 | $85.80 | |
Emblem Health
| Facility | $306,496.94 | $306,496.94 | $306,496.94 | |
Emblem Health
| Professional | $31.20 | $43.63 | $51.59 | |
MVP Health Care
| Facility | $555.00 | $597.00 | $74,999.25 | |
MVP Health Care
| Professional | $52.00 | $52.00 | $52.00 |