| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $306.22 | $440.03 | $709.11 | |
CDPHP
| Facility | $564.53 | $564.53 | $564.53 | |
Cigna
| Facility | $451.80 | $451.80 | $451.80 | |
Emblem Health
| Facility | $250.00 | $300.00 | $613.19 | |
Excellus BCBS
| Facility | $371.63 | $371.63 | $371.63 | |
MVP Health Care
| Facility | $451.80 | $451.80 | $555.00 | |
Univera
| Facility | $371.63 | $371.63 | $371.63 |