| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $173.78 | $245.47 | $645.65 | |
Anthem BCBS
| Professional | $223.87 | $281.84 | $630.96 | |
CDPHP
| Professional | $281.84 | $281.84 | $398.11 | |
Cigna
| Professional | $177.83 | $316.23 | $676.08 | |
Emblem Health
| Professional | $323.59 | $389.05 | $630.96 | |
Excellus BCBS
| Professional | $218.78 | $309.03 | $524.81 | |
Highmark BCBS
| Professional | $251.19 | $251.19 | $251.19 | |
MVP Health Care
| Professional | $331.13 | $398.11 | $416.87 | |
United
| Professional | $134.90 | $251.19 | $524.81 | |
Univera
| Professional | $218.78 | $331.13 | $676.08 |