| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,899.71 | $3,043.26 | $3,646.17 | |
Excellus BCBS
| Professional | $2,897.83 | $2,897.83 | $2,897.83 | |
MVP Health Care
| Professional | $2,899.71 | $3,043.26 | $3,646.17 | |
Univera
| Facility | $2,839.32 | $2,839.32 | $2,839.32 | |
Univera
| Professional | $2,839.32 | $2,839.32 | $2,897.83 |