| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $30.58 | $35.90 | $35.90 |
Aetna
| Professional | $74.38 | $95.79 | $95.79 | |
Aetna
| Professional | TC | $50.76 | $69.26 | $69.26 |
Cigna
| Professional | $70.31 | $109.40 | $163.90 | |
Cigna
| Professional | TC | $49.20 | $76.52 | $113.88 |
United
| Professional | $80.81 | $99.25 | $218.51 | |
United
| Professional | TC | $54.47 | $74.23 | $151.58 |