| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $180.00 | $225.00 | $305.00 | |
Excellus BCBS
| Professional | $2.86 | $2.86 | $2.86 | |
United
| Professional | $1.67 | $4.17 | $4.59 | |
Univera
| Facility | $2.86 | $2.86 | $2.86 | |
Univera
| Professional | $2.86 | $2.86 | $2.86 |