| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Excellus BCBS
| Professional | $318.30 | $356.17 | $829.61 | |
MVP Health Care
| Professional | $350.50 | $350.50 | $350.50 | |
Univera
| Facility | $332.64 | $332.64 | $332.64 | |
Univera
| Professional | $282.75 | $332.64 | $356.17 |