| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Excellus BCBS
| Professional | $55.44 | $65.22 | $65.22 | |
Univera
| Facility | $65.22 | $65.22 | $65.22 | |
Univera
| Professional | $65.22 | $65.22 | $65.22 |
Medical
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Excellus BCBS
| Professional | $55.44 | $65.22 | $65.22 | |
Univera
| Facility | $65.22 | $65.22 | $65.22 | |
Univera
| Professional | $65.22 | $65.22 | $65.22 |