| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.45 | $101.67 | $113.46 | |
Aetna
| Professional | 26 | $67.59 | $74.23 | $80.02 |
Aetna
| Professional | TC | $19.87 | $29.76 | $34.63 |
Cigna
| Professional | $78.15 | $103.86 | $142.31 | |
Cigna
| Professional | 26 | $57.29 | $85.50 | $108.29 |
Cigna
| Professional | TC | $18.29 | $19.78 | $44.20 |
United
| Professional | $75.58 | $90.54 | $244.66 | |
United
| Professional | 26 | $60.11 | $76.77 | $181.43 |
United
| Professional | TC | $15.11 | $27.30 | $63.23 |