| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $47.63 | $64.84 | $122.40 |
Aetna
| Professional | $298.23 | $318.73 | $356.33 | |
Aetna
| Professional | 26 | $42.00 | $45.85 | $47.63 |
Aetna
| Professional | TC | $256.24 | $272.87 | $308.70 |
Cigna
| Professional | $230.84 | $358.47 | $422.22 | |
Cigna
| Professional | 26 | $33.56 | $53.36 | $62.09 |
Cigna
| Professional | TC | $197.28 | $305.11 | $360.13 |
Highmark BCBS
| Professional | 26 | $62.44 | $62.44 | $62.44 |
United
| Professional | $277.69 | $374.63 | $885.01 | |
United
| Professional | 26 | $41.29 | $62.49 | $117.49 |
United
| Professional | TC | $286.14 | $337.10 | $767.52 |