| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $691.83 | $724.44 | $870.96 | |
Excellus BCBS
| Professional | $630.96 | $630.96 | $630.96 | |
Univera
| Facility | $616.60 | $616.60 | $616.60 | |
Univera
| Professional | $616.60 | $630.96 | $630.96 |