| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $588.84 | $588.84 | $602.56 | |
CDPHP
| Facility | $741.31 | $741.31 | $741.31 | |
Cigna
| Facility | $851.14 | $851.14 | $851.14 | |
Emblem Health
| Facility | $338.84 | $389.05 | $1,380.38 | |
Excellus BCBS
| Facility | $489.78 | $489.78 | $562.34 | |
Univera
| Facility | $223.87 | $489.78 | $1,148.15 |