| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $298.32 | $373.22 | $745.34 | |
Aetna
| Professional | 26 | $118.23 | $133.75 | $356.72 |
Aetna
| Professional | TC | $181.94 | $244.40 | $586.49 |
BCBS
| Professional | $971.86 | $1,088.99 | $1,096.35 | |
BCBS
| Professional | 26 | $316.38 | $353.07 | $354.51 |
BCBS
| Professional | TC | $655.48 | $734.47 | $743.29 |
Cigna
| Professional | $567.85 | $567.85 | $709.81 | |
Cigna
| Professional | 26 | $182.16 | $182.16 | $227.71 |
Cigna
| Professional | TC | $385.68 | $385.68 | $482.10 |
Medica
| Professional | $513.19 | $941.02 | $2,755.28 | |
Medica
| Professional | 26 | $308.52 | $351.47 | $895.79 |
Medica
| Professional | TC | $330.00 | $607.91 | $1,859.49 |
United
| Professional | $436.21 | $889.53 | $941.02 | |
United
| Professional | 26 | $155.71 | $317.52 | $333.10 |
United
| Professional | TC | $280.50 | $572.00 | $607.91 |