| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $204.66 | $257.18 | $395.89 | |
Anthem BCBS
| Professional | $54.32 | $67.90 | $196.00 | |
Cigna
| Professional | $289.52 | $289.52 | $554.05 | |
Excellus BCBS
| Professional | $282.75 | $306.02 | $373.24 | |
MVP Health Care
| Professional | $289.52 | $289.52 | $554.05 | |
United
| Professional | $313.24 | $515.76 | $799.48 | |
Univera
| Facility | $45.60 | $45.60 | $373.24 | |
Univera
| Professional | $306.02 | $316.01 | $373.24 |