| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $113.66 | $147.54 | $296.11 |
Aetna
| Professional | $270.39 | $335.52 | $548.44 | |
Aetna
| Professional | 26 | $100.31 | $106.09 | $174.60 |
Aetna
| Professional | TC | $162.63 | $235.21 | $373.84 |
Cigna
| Professional | $332.49 | $558.87 | $773.05 | |
Cigna
| Professional | 26 | $79.67 | $126.97 | $203.68 |
Cigna
| Professional | TC | $212.53 | $410.80 | $593.03 |
Highmark BCBS
| Professional | 26 | $109.85 | $109.85 | $142.08 |
United
| Professional | $254.75 | $411.90 | $846.83 | |
United
| Professional | 26 | $83.18 | $132.31 | $264.20 |
United
| Professional | TC | $206.37 | $464.91 | $714.52 |