| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $22.03 | $42.89 | $56.64 |
Aetna
| Professional | $26.35 | $46.41 | $75.62 | |
Aetna
| Professional | 26 | $17.17 | $20.56 | $53.46 |
Aetna
| Professional | TC | $9.18 | $11.47 | $32.53 |
Cigna
| Professional | $31.32 | $44.43 | $101.63 | |
Cigna
| Professional | 26 | $16.22 | $25.66 | $41.66 |
Cigna
| Professional | TC | $10.09 | $15.86 | $59.47 |
Highmark BCBS
| Professional | $225.86 | $225.86 | $225.86 | |
Highmark BCBS
| Professional | 26 | $31.90 | $41.31 | $78.31 |
United
| Professional | $25.41 | $45.42 | $127.75 | |
United
| Professional | 26 | $17.76 | $24.22 | $54.42 |
United
| Professional | TC | $10.18 | $25.35 | $73.33 |