| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.92 | $380.19 | $758.58 | |
Aetna
| Facility | 26 | $5.75 | $5.75 | $6.92 |
Aetna
| Professional | $20.89 | $26.92 | $46.77 | |
Aetna
| Professional | 26 | $5.37 | $17.78 | $43.65 |
Aetna
| Professional | TC | $15.85 | $20.89 | $42.66 |
Cigna
| Professional | $21.38 | $25.12 | $109.65 | |
Cigna
| Professional | 26 | $3.24 | $4.79 | $18.20 |
Cigna
| Professional | TC | $16.60 | $21.88 | $91.20 |
Highmark BCBS
| Professional | $29.51 | $29.51 | $29.51 | |
Highmark BCBS
| Professional | 26 | $5.75 | $5.89 | $5.89 |
Highmark BCBS
| Professional | TC | $23.44 | $23.44 | $23.44 |
United
| Professional | $22.39 | $36.31 | $70.79 | |
United
| Professional | 26 | $4.27 | $6.92 | $16.22 |
United
| Professional | TC | $17.78 | $32.36 | $53.70 |