| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Excellus BCBS
| Professional | $500.23 | $559.75 | $1,303.33 | |
MVP Health Care
| Professional | $550.50 | $550.50 | $550.50 | |
Univera
| Facility | $522.50 | $522.50 | $522.50 | |
Univera
| Professional | $444.12 | $522.50 | $559.75 |