| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.17 | $65.76 | $138.13 | |
Aetna
| Professional | 26 | $8.67 | $13.29 | $45.95 |
Aetna
| Professional | TC | $27.52 | $54.80 | $64.40 |
BCBS
| Professional | $60.83 | $71.70 | $150.00 | |
Cigna
| Professional | $53.11 | $64.92 | $150.00 | |
Cigna
| Professional | 26 | $13.30 | $16.05 | $39.00 |
Cigna
| Professional | TC | $39.47 | $47.90 | $61.88 |
MVP Health Care
| Professional | $39.51 | $53.11 | $75.18 | |
MVP Health Care
| Professional | 26 | $10.67 | $13.64 | $17.02 |
MVP Health Care
| Professional | TC | $29.09 | $39.47 | $47.90 |
United
| Professional | $25.10 | $60.65 | $127.86 | |
United
| Professional | 26 | $7.08 | $11.79 | $33.06 |
United
| Professional | TC | $18.02 | $30.04 | $94.80 |