| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.48 | $457.09 | $977.24 | |
Aetna
| Facility | 26 | $9.55 | $9.55 | $10.72 |
Aetna
| Facility | TC | $26.30 | $26.30 | $31.62 |
Aetna
| Professional | $26.92 | $151.36 | $371.54 | |
Aetna
| Professional | 26 | $7.08 | $44.67 | $87.10 |
Aetna
| Professional | TC | $2.19 | $19.95 | $38.02 |
Cigna
| Professional | $28.18 | $31.62 | $144.54 | |
Cigna
| Professional | 26 | $5.13 | $7.41 | $29.51 |
Cigna
| Professional | TC | $20.42 | $26.30 | $114.82 |
Highmark BCBS
| Professional | $37.15 | $37.15 | $37.15 | |
Highmark BCBS
| Professional | 26 | $9.55 | $9.55 | $9.77 |
Highmark BCBS
| Professional | TC | $28.18 | $28.18 | $28.18 |
United
| Professional | $30.20 | $43.65 | $93.33 | |
United
| Professional | 26 | $7.08 | $11.48 | $26.30 |
United
| Professional | TC | $21.88 | $37.15 | $67.61 |