| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.91 | $276.18 | $361.81 | |
Aetna
| Professional | $209.51 | $305.62 | $361.81 | |
Anthem BCBS
| Professional | $284.23 | $334.39 | $531.70 | |
Cigna
| Facility | $334.42 | $334.42 | $353.59 | |
Cigna
| Professional | $600.00 | $1,398.52 | $1,398.52 | |
Excellus BCBS
| Professional | $285.42 | $493.80 | $629.37 | |
MVP Health Care
| Facility | $334.42 | $334.42 | $1,211.32 | |
MVP Health Care
| Professional | $600.00 | $1,398.52 | $1,398.52 | |
United
| Professional | $265.77 | $334.49 | $874.63 | |
Univera
| Facility | $280.76 | $285.42 | $285.42 | |
Univera
| Professional | $280.76 | $285.42 | $553.72 |