| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $190.87 | $190.87 | $228.69 | |
Excellus BCBS
| Professional | $121.24 | $142.63 | $258.63 | |
MVP Health Care
| Professional | $92.71 | $106.97 | $293.82 | |
Univera
| Facility | $145.66 | $164.02 | $164.02 | |
Univera
| Professional | $121.24 | $145.66 | $171.43 |