| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.10 | $89.13 | $102.33 | |
Aetna
| Professional | $25.12 | $30.90 | $64.57 | |
Aetna
| Professional | 26 | $6.03 | $24.55 | $43.65 |
Aetna
| Professional | TC | $19.95 | $25.12 | $57.54 |
BCBS
| Professional | $45.71 | $45.71 | $138.04 | |
Cigna
| Professional | $31.62 | $44.67 | $138.04 | |
Cigna
| Professional | 26 | $6.46 | $9.55 | $28.18 |
Cigna
| Professional | TC | $25.12 | $34.67 | $51.29 |
MVP Health Care
| Professional | $30.20 | $33.11 | $46.77 | |
MVP Health Care
| Professional | 26 | $6.46 | $6.61 | $9.55 |
MVP Health Care
| Professional | TC | $22.91 | $26.92 | $37.15 |
United
| Professional | $18.62 | $45.71 | $97.72 | |
United
| Professional | 26 | $4.27 | $7.08 | $19.95 |
United
| Professional | TC | $14.45 | $23.99 | $79.43 |