| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $146.19 | $153.44 | $183.83 | |
Excellus BCBS
| Professional | $121.85 | $126.05 | $126.05 | |
MVP Health Care
| Professional | $146.19 | $153.44 | $183.83 | |
Univera
| Facility | $120.84 | $120.84 | $120.84 | |
Univera
| Professional | $120.84 | $120.84 | $121.85 |