| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $249.99 | $314.48 | $434.05 |
Cigna
| Facility | 26 | $280.45 | $280.45 | $280.45 |
Excellus BCBS
| Facility | 26 | $226.85 | $226.85 | $226.85 |
MVP Health Care
| Facility | 26 | $280.45 | $280.45 | $280.45 |
Univera
| Facility | 26 | $444.40 | $444.40 | $1,371.00 |