| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.84 | $2,660.00 | $7,521.00 | |
Anthem BCBS
| Facility | $1,689.00 | $3,373.00 | $4,707.00 | |
CDPHP
| Facility | $122.32 | $1,254.00 | $4,050.00 | |
Cigna
| Facility | $146.47 | $146.47 | $146.47 | |
Emblem Health
| Facility | $81.08 | $132.15 | $332.00 | |
Excellus BCBS
| Facility | $127.36 | $127.36 | $127.36 | |
MVP Health Care
| Facility | $146.47 | $555.00 | $597.00 | |
United
| Facility | $1,348.00 | $3,496.00 | $6,201.00 | |
Univera
| Facility | $99.29 | $99.29 | $195.94 |