| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.17 | $379.04 | $758.08 | |
Aetna
| Facility | 26 | $5.78 | $5.78 | $6.73 |
Aetna
| Professional | $21.15 | $27.18 | $47.20 | |
Aetna
| Professional | 26 | $4.26 | $5.40 | $5.78 |
Aetna
| Professional | TC | $16.88 | $21.40 | $41.79 |
Cigna
| Professional | $21.38 | $25.38 | $109.77 | |
Cigna
| Professional | 26 | $3.25 | $4.76 | $18.32 |
Cigna
| Professional | TC | $16.62 | $22.13 | $91.44 |
Highmark BCBS
| Professional | $29.22 | $29.22 | $29.22 | |
Highmark BCBS
| Professional | 26 | $5.81 | $5.84 | $5.87 |
Highmark BCBS
| Professional | TC | $23.26 | $23.26 | $23.26 |
United
| Professional | $16.35 | $30.39 | $70.38 | |
United
| Professional | 26 | $3.89 | $7.30 | $16.05 |
United
| Professional | TC | $17.72 | $30.49 | $54.32 |