| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.85 | $30.54 | $66.31 | |
Aetna
| Professional | 26 | $12.88 | $15.38 | $20.66 |
Aetna
| Professional | TC | $10.97 | $14.69 | $45.65 |
Cigna
| Professional | $29.62 | $40.54 | $80.70 | |
Cigna
| Professional | 26 | $13.95 | $17.18 | $26.81 |
Cigna
| Professional | TC | $13.45 | $21.80 | $54.98 |
United
| Professional | $23.21 | $35.57 | $101.86 | |
United
| Professional | 26 | $12.35 | $16.05 | $35.31 |
United
| Professional | TC | $10.97 | $20.64 | $56.76 |