| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $61.59 | $82.82 | $158.28 |
Aetna
| Professional | $265.16 | $308.87 | $315.69 | |
Aetna
| Professional | 26 | $54.24 | $57.15 | $63.80 |
Aetna
| Professional | TC | $210.92 | $251.71 | $254.10 |
Cigna
| Professional | $216.41 | $346.56 | $419.11 | |
Cigna
| Professional | 26 | $43.98 | $69.08 | $80.13 |
Cigna
| Professional | TC | $172.43 | $274.30 | $338.98 |
United
| Professional | $295.98 | $474.49 | $779.02 | |
United
| Professional | 26 | $58.88 | $123.17 | $152.38 |
United
| Professional | TC | $236.25 | $364.04 | $626.63 |