| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $198.93 | $248.66 | $497.33 | |
Aetna
| Professional | 26 | $67.76 | $124.85 | $542.04 |
Aetna
| Professional | TC | $131.18 | $182.17 | $359.94 |
BCBS
| Professional | $318.86 | $375.88 | $1,230.35 | |
Cigna
| Professional | $254.99 | $428.18 | $1,230.35 | |
Cigna
| Professional | 26 | $97.38 | $119.22 | $339.66 |
Cigna
| Professional | TC | $157.60 | $307.91 | $308.95 |
MVP Health Care
| Professional | $254.99 | $288.37 | $433.60 | |
MVP Health Care
| Professional | 26 | $76.66 | $98.83 | $125.69 |
MVP Health Care
| Professional | TC | $157.60 | $204.19 | $307.91 |
United
| Professional | $169.42 | $282.37 | $414.16 | |
United
| Professional | 26 | $51.83 | $86.39 | $240.87 |
United
| Professional | TC | $117.59 | $195.98 | $631.65 |