| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.22 | $74.48 | $263.48 | |
CDPHP
| Facility | $35.18 | $35.18 | $35.18 | |
Cigna
| Facility | $37.82 | $37.82 | $14,648.00 | |
Emblem Health
| Facility | $18.18 | $32.22 | $332.00 | |
Excellus BCBS
| Facility | $5.43 | $5.43 | $5.43 | |
Highmark BCBS
| Facility | $104.37 | $104.37 | $719.29 | |
MVP Health Care
| Facility | $37.82 | $555.00 | $74,999.25 | |
Univera
| Facility | $32.17 | $32.17 | $44.42 |