| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.74 | $43.30 | $53.01 | |
Aetna
| Professional | 26 | $17.36 | $19.32 | $23.99 |
Aetna
| Professional | TC | $21.38 | $24.16 | $29.38 |
Cigna
| Professional | $34.34 | $65.36 | $70.25 | |
Cigna
| Professional | 26 | $15.39 | $22.04 | $30.36 |
Cigna
| Professional | TC | $18.95 | $39.93 | $44.85 |
Highmark BCBS
| Professional | $46.22 | $46.22 | $47.43 | |
United
| Professional | $38.69 | $48.86 | $106.33 | |
United
| Professional | 26 | $16.28 | $17.80 | $48.15 |
United
| Professional | TC | $20.77 | $26.23 | $59.18 |