| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.23 | $22.16 | $78.50 | |
Anthem BCBS
| Professional | $0.03 | $19.89 | $22.00 | |
Cigna
| Professional | $113.63 | $228.00 | $228.00 | |
Excellus BCBS
| Professional | $156.65 | $156.65 | $184.29 | |
MVP Health Care
| Professional | $113.63 | $228.00 | $228.00 | |
Univera
| Facility | $184.29 | $184.29 | $184.29 | |
Univera
| Professional | $156.65 | $156.65 | $184.29 |