| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $85.19 | $110.69 | $145.32 | |
Aetna
| Professional | 26 | $64.78 | $80.44 | $110.49 |
Aetna
| Professional | TC | $19.87 | $30.96 | $39.94 |
Ambetter
| Professional | $99.05 | $99.05 | $99.05 | |
BCBS
| Professional | $133.57 | $133.57 | $146.93 | |
BCBS
| Professional | 26 | $104.43 | $104.43 | $114.87 |
BCBS
| Professional | TC | $29.14 | $29.14 | $32.04 |
Cigna
| Professional | $78.56 | $112.95 | $336.61 | |
Cigna
| Professional | 26 | $60.60 | $89.97 | $268.39 |
Cigna
| Professional | TC | $16.51 | $23.83 | $68.22 |
United
| Professional | $76.80 | $93.25 | $120.69 | |
United
| Professional | 26 | $57.09 | $69.33 | $92.16 |
United
| Professional | TC | $17.05 | $23.36 | $30.24 |