| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $177.31 | $237.95 | $311.68 |
Cigna
| Facility | 26 | $196.61 | $196.61 | $196.61 |
Excellus BCBS
| Facility | 26 | $158.88 | $158.88 | $158.88 |
MVP Health Care
| Facility | 26 | $196.61 | $196.61 | $196.61 |
Univera
| Facility | 26 | $311.68 | $311.68 | $961.16 |