| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $430.99 | $624.71 | $997.09 | |
CDPHP
| Facility | $800.48 | $800.48 | $800.48 | |
Cigna
| Facility | $635.70 | $635.70 | $635.70 | |
Emblem Health
| Facility | $332.00 | $430.00 | $860.36 | |
Excellus BCBS
| Facility | $521.42 | $521.42 | $521.42 | |
MVP Health Care
| Facility | $597.00 | $635.70 | $635.70 | |
Univera
| Facility | $521.42 | $521.42 | $521.42 |