| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.66 | $61.66 | $104.71 | |
CDPHP
| Facility | $63.10 | $63.10 | $63.10 | |
Cigna
| Facility | $72.44 | $72.44 | $50,118.72 | |
Emblem Health
| Facility | $38.90 | $54.95 | $162.18 | |
Excellus BCBS
| Facility | $15.14 | $15.14 | $15.14 | |
MVP Health Care
| Facility | $32.36 | $50,118.72 | $75,857.76 | |
Univera
| Facility | $15.14 | $18.20 | $51.29 |