| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $163.07 | $2,660.00 | $7,521.00 | |
Anthem BCBS
| Facility | $1,689.00 | $3,373.00 | $4,707.00 | |
CDPHP
| Facility | $157.03 | $1,254.00 | $4,050.00 | |
Cigna
| Facility | $186.13 | $186.13 | $186.13 | |
Emblem Health
| Facility | $95.34 | $164.94 | $387.08 | |
Excellus BCBS
| Facility | $225.22 | $225.22 | $225.22 | |
MVP Health Care
| Facility | $186.13 | $555.00 | $597.00 | |
United
| Facility | $1,348.00 | $3,496.00 | $6,201.00 | |
Univera
| Facility | $128.57 | $128.57 | $229.22 |