| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $284.05 | $355.00 | $417.40 | |
Aetna
| Professional | 26 | $181.42 | $181.42 | $181.42 |
Aetna
| Professional | TC | $235.99 | $235.99 | $235.99 |
BCBS
| Professional | $551.55 | $839.00 | $1,324.00 | |
BCBS
| Professional | 26 | $279.00 | $440.00 | $440.00 |
BCBS
| Professional | TC | $560.00 | $884.00 | $884.00 |
Cigna
| Professional | $232.50 | $690.06 | $1,874.59 | |
Cigna
| Professional | 26 | $76.00 | $221.93 | $613.61 |
Cigna
| Professional | TC | $156.51 | $468.13 | $1,260.98 |
United
| Professional | $256.60 | $855.32 | $962.24 | |
United
| Professional | 26 | $91.60 | $284.66 | $343.49 |
United
| Professional | TC | $165.00 | $550.00 | $618.75 |