| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $187.00 | $225.00 | $347.50 | |
Emblem Health
| Facility | $19.69 | $19.69 | $34.06 | |
MVP Health Care
| Facility | $555.00 | $597.00 | $74,999.25 | |
MVP Health Care
| Professional | $1.09 | $1.09 | $1.09 |