| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $29.51 | $43.29 | $75.86 |
Aetna
| Professional | $56.36 | $62.40 | $668.00 | |
Aetna
| Professional | 26 | $27.07 | $28.61 | $33.35 |
Aetna
| Professional | TC | $27.75 | $35.34 | $35.34 |
Cigna
| Professional | $53.81 | $79.20 | $111.35 | |
Cigna
| Professional | 26 | $25.98 | $36.22 | $50.30 |
Cigna
| Professional | TC | $28.00 | $48.03 | $61.05 |
Highmark BCBS
| Professional | $142.16 | $142.16 | $142.16 | |
Highmark BCBS
| Professional | 26 | $33.42 | $43.24 | $61.80 |
United
| Professional | $55.34 | $92.38 | $151.66 | |
United
| Professional | 26 | $26.02 | $34.86 | $73.39 |
United
| Professional | TC | $29.32 | $58.65 | $75.73 |