| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CDPHP
| Professional | $199.53 | $199.53 | $199.53 | |
Cigna
| Professional | $169.82 | $194.98 | $331.13 | |
Excellus BCBS
| Professional | $107.15 | $147.91 | $251.19 | |
MVP Health Care
| Professional | $165.96 | $190.55 | $331.13 | |
United
| Professional | $89.13 | $144.54 | $354.81 | |
Univera
| Professional | $102.33 | $134.90 | $263.03 |