| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $508.22 | $950.68 | $1,704.04 | |
Aetna
| Professional | $328.14 | $358.74 | $597.91 | |
Anthem BCBS
| Facility | $597.91 | $597.91 | $1,554.57 | |
Anthem BCBS
| Professional | $239.16 | $361.73 | $1,127.08 | |
CDPHP
| Facility | $358.75 | $597.91 | $597.91 | |
CDPHP
| Professional | $436.47 | $597.91 | $597.91 | |
Cigna
| Facility | $417.80 | $1,211.15 | $1,551.97 | |
Cigna
| Professional | $360.27 | $809.31 | $1,940.36 | |
Emblem Health
| Facility | $332.00 | $741.01 | $1,345.30 | |
Emblem Health
| Professional | $275.04 | $478.33 | $1,094.18 | |
Excellus BCBS
| Professional | $398.21 | $568.01 | $703.74 | |
MVP Health Care
| Facility | $399.76 | $1,263.08 | $1,551.97 | |
MVP Health Care
| Professional | $388.64 | $605.26 | $1,640.71 | |
United
| Professional | $251.12 | $358.75 | $926.76 | |
Univera
| Facility | $633.79 | $633.79 | $817.44 | |
Univera
| Professional | $386.50 | $597.91 | $703.74 |