| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $64.57 | $74.13 | $165.96 |
Aetna
| Professional | $398.11 | $512.86 | $1,318.26 | |
Aetna
| Professional | 26 | $57.54 | $79.43 | $239.88 |
Aetna
| Professional | TC | $338.84 | $398.11 | $933.25 |
Cigna
| Professional | $354.81 | $562.34 | $870.96 | |
Cigna
| Professional | 26 | $48.98 | $74.13 | $120.23 |
Cigna
| Professional | TC | $302.00 | $478.63 | $758.58 |
Highmark BCBS
| Professional | 26 | $83.18 | $83.18 | $83.18 |
United
| Professional | $426.58 | $588.84 | $1,148.15 | |
United
| Professional | 26 | $56.23 | $83.18 | $162.18 |
United
| Professional | TC | $371.54 | $501.19 | $977.24 |