| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $707.95 | $707.95 | $707.95 | |
CDPHP
| Facility | $870.96 | $870.96 | $870.96 | |
Cigna
| Facility | $977.24 | $977.24 | $977.24 | |
Emblem Health
| Facility | $446.68 | $501.19 | $1,584.89 | |
Excellus BCBS
| Facility | $562.34 | $562.34 | $645.65 | |
Univera
| Facility | $501.19 | $794.33 | $1,380.38 |