| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $92.96 | $125.32 | $238.90 |
Aetna
| Professional | $713.72 | $756.20 | $854.10 | |
Aetna
| Professional | 26 | $81.97 | $86.84 | $238.90 |
Aetna
| Professional | TC | $631.75 | $669.36 | $761.14 |
Cigna
| Professional | $664.29 | $981.63 | $1,654.85 | |
Cigna
| Professional | 26 | $69.67 | $105.34 | $161.99 |
Cigna
| Professional | TC | $594.62 | $876.28 | $1,475.02 |
United
| Professional | $807.84 | $1,184.58 | $2,144.10 | |
United
| Professional | 26 | $80.37 | $119.03 | $232.59 |
United
| Professional | TC | $724.67 | $1,078.53 | $1,879.37 |