| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $11.25 | $15.00 | $42.90 | |
Emblem Health
| Facility | $306,496.94 | $306,496.94 | $306,496.94 | |
Emblem Health
| Professional | $24.58 | $34.38 | $40.65 | |
MVP Health Care
| Facility | $555.00 | $597.00 | $74,999.25 | |
MVP Health Care
| Professional | $52.00 | $52.00 | $52.00 |