| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $316.23 | $416.87 | $426.58 | |
Aetna
| Professional | 26 | $112.20 | $302.00 | $812.83 |
Aetna
| Professional | TC | $208.93 | $251.19 | $281.84 |
BCBS
| Professional | $467.74 | $467.74 | $549.54 | |
Cigna
| Professional | $380.19 | $537.03 | $660.69 | |
Cigna
| Professional | 26 | $134.90 | $204.17 | $602.56 |
Cigna
| Professional | TC | $218.78 | $416.87 | $436.52 |
MVP Health Care
| Professional | $416.87 | $436.52 | $616.60 | |
MVP Health Care
| Professional | 26 | $134.90 | $138.04 | $204.17 |
MVP Health Care
| Professional | TC | $275.42 | $295.12 | $416.87 |
United
| Professional | $257.04 | $426.58 | $1,318.26 | |
United
| Professional | 26 | $91.20 | $151.36 | $426.58 |
United
| Professional | TC | $165.96 | $275.42 | $891.25 |