| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $259.57 | $376.52 | $600.19 | |
CDPHP
| Facility | $480.60 | $480.60 | $480.60 | |
Cigna
| Facility | $382.54 | $382.54 | $382.54 | |
Emblem Health
| Facility | $249.00 | $298.80 | $521.19 | |
Excellus BCBS
| Facility | $315.87 | $315.87 | $315.87 | |
MVP Health Care
| Facility | $382.54 | $382.54 | $555.00 | |
Univera
| Facility | $315.87 | $315.87 | $315.87 |