| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $594.00 | $3,041.21 | $6,011.00 | |
Excellus BCBS
| Facility | $428.85 | $765.26 | $2,021.61 | |
United
| Facility | $1,181.00 | $1,181.00 | $1,181.00 | |
Univera
| Facility | $2,021.61 | $2,021.61 | $2,021.61 |