| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $15.30 | $18.00 | $27.80 | |
Emblem Health
| Facility | $306,496.94 | $306,496.94 | $306,496.94 | |
Emblem Health
| Professional | $68.06 | $95.19 | $112.55 | |
MVP Health Care
| Facility | $555.00 | $597.00 | $74,999.25 |