| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $429.61 | $3,516.00 | $9,038.00 | |
Anthem BCBS
| Facility | $1,689.00 | $3,373.00 | $4,707.00 | |
CDPHP
| Facility | $448.37 | $1,716.00 | $6,213.00 | |
Cigna
| Facility | $357.41 | $357.41 | $357.41 | |
Emblem Health
| Facility | $282.00 | $349.55 | $841.95 | |
Excellus BCBS
| Facility | $295.72 | $295.72 | $295.72 | |
MVP Health Care
| Facility | $357.41 | $555.00 | $597.00 | |
United
| Facility | $964.00 | $2,826.00 | $4,851.00 | |
Univera
| Facility | $377.26 | $377.26 | $575.33 |