| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.45 | $56.49 | $99.19 | |
Aetna
| Professional | 26 | $5.21 | $7.35 | $20.98 |
Aetna
| Professional | TC | $20.23 | $46.10 | $100.32 |
BCBS
| Professional | $46.15 | $54.40 | $138.84 | |
Cigna
| Professional | $41.39 | $44.95 | $138.84 | |
Cigna
| Professional | 26 | $7.90 | $10.16 | $28.01 |
Cigna
| Professional | TC | $33.21 | $34.39 | $51.20 |
MVP Health Care
| Professional | $30.09 | $41.39 | $59.09 | |
MVP Health Care
| Professional | 26 | $6.47 | $8.19 | $10.56 |
MVP Health Care
| Professional | TC | $22.93 | $33.21 | $36.49 |
United
| Professional | $18.78 | $45.39 | $98.46 | |
United
| Professional | 26 | $4.42 | $7.08 | $19.86 |
United
| Professional | TC | $14.53 | $24.22 | $78.59 |