| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $180.00 | $225.00 | $305.00 | |
Emblem Health
| Professional | $11.25 | $12.83 | $14.15 | |
Excellus BCBS
| Professional | $10.76 | $10.76 | $10.76 | |
MVP Health Care
| Facility | $555.00 | $597.00 | $74,999.25 | |
United
| Professional | $0.18 | $0.27 | $1.13 | |
Univera
| Professional | $10.76 | $10.76 | $10.76 |