| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $121.20 | $121.20 | $141.03 |
Aetna
| Professional | $272.62 | $300.18 | $372.96 | |
Aetna
| Professional | 26 | $89.74 | $118.23 | $121.20 |
Aetna
| Professional | TC | $181.94 | $182.88 | $251.76 |
Cigna
| Professional | $153.49 | $305.58 | $628.62 | |
Cigna
| Professional | 26 | $66.44 | $97.17 | $306.17 |
Cigna
| Professional | TC | $87.05 | $167.41 | $396.85 |
Highmark BCBS
| Professional | $376.98 | $376.98 | $376.98 | |
Highmark BCBS
| Professional | 26 | $121.51 | $122.12 | $122.72 |
United
| Professional | $223.93 | $342.13 | $957.29 | |
United
| Professional | 26 | $88.69 | $137.86 | $339.57 |
United
| Professional | TC | $139.26 | $220.00 | $617.72 |