| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.29 | $51.29 | $60.26 | |
Aetna
| Professional | 26 | $10.47 | $10.47 | $97.72 |
Aetna
| Professional | TC | $40.74 | $40.74 | $40.74 |
BCBS
| Professional | $39.81 | $39.81 | $95.50 | |
BCBS
| Professional | 26 | $8.71 | $8.71 | $20.89 |
BCBS
| Professional | TC | $31.62 | $31.62 | $75.86 |
Cigna
| Professional | $16.22 | $52.48 | $134.90 | |
Cigna
| Professional | 26 | $3.09 | $10.47 | $29.51 |
Cigna
| Professional | TC | $12.59 | $42.66 | $107.15 |
United
| Professional | $19.05 | $63.10 | $134.90 | |
United
| Professional | 26 | $3.98 | $13.49 | $30.90 |
United
| Professional | TC | $14.45 | $47.86 | $102.33 |