| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,398.83 | $2,511.89 | $2,570.40 | |
Emblem Health
| Facility | $724.44 | $1,380.38 | $2,951.21 | |
Excellus BCBS
| Facility | $645.65 | $676.08 | $1,737.80 | |
Univera
| Facility | $645.65 | $676.08 | $1,412.54 |