| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $130.38 | $130.38 | $156.21 | |
Emblem Health
| Facility | $64.00 | $107.24 | $332.00 | |
Emblem Health
| Professional | $135.41 | $162.69 | $242.15 | |
MVP Health Care
| Professional | $130.38 | $130.38 | $156.21 |