| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Emblem Health
| Facility | $1,202.26 | $3,890.45 | $6,918.31 | |
Excellus BCBS
| Facility | $275.42 | $1,737.80 | $3,801.89 | |
United
| Facility | $2,344.23 | $11,748.98 | $21,379.62 | |
Univera
| Facility | $275.42 | $275.42 | $1,737.80 |