| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $416.87 | $562.34 | $1,071.52 | |
Aetna
| Professional | 26 | $54.95 | $93.33 | $245.47 |
Aetna
| Professional | TC | $363.08 | $489.78 | $912.01 |
BCBS
| Professional | $616.60 | $616.60 | $1,905.46 | |
Cigna
| Professional | $645.65 | $691.83 | $1,905.46 | |
Cigna
| Professional | 26 | $93.33 | $100.00 | $281.84 |
Cigna
| Professional | TC | $537.03 | $588.84 | $1,288.25 |
United
| Professional | $478.63 | $741.31 | $2,041.74 | |
United
| Professional | 26 | $70.79 | $107.15 | $165.96 |
United
| Professional | TC | $416.87 | $645.65 | $1,071.52 |