| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $301.12 | $395.33 | $546.16 |
Cigna
| Facility | 26 | $343.68 | $343.68 | $343.68 |
Excellus BCBS
| Facility | 26 | $276.72 | $276.72 | $276.72 |
MVP Health Care
| Facility | 26 | $343.68 | $343.68 | $343.68 |
Univera
| Facility | 26 | $544.42 | $544.42 | $1,626.53 |