| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.95 | $47.71 | $76.31 | |
Aetna
| Professional | 26 | $16.55 | $21.98 | $35.89 |
Aetna
| Professional | TC | $19.39 | $25.73 | $40.42 |
BCBS
| Professional | $67.00 | $67.00 | $67.00 | |
Cigna
| Professional | $36.72 | $60.65 | $111.73 | |
Cigna
| Professional | 26 | $16.54 | $26.59 | $41.60 |
Cigna
| Professional | TC | $20.58 | $31.79 | $74.20 |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $37.24 | $44.97 | $68.28 | |
United
| Professional | 26 | $17.61 | $20.91 | $28.00 |
United
| Professional | TC | $20.52 | $24.50 | $45.35 |