| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.18 | $50.67 | $80.00 | |
Aetna
| Professional | 26 | $18.04 | $23.36 | $28.10 |
Aetna
| Professional | TC | $14.15 | $31.66 | $51.90 |
Cigna
| Professional | $45.93 | $52.19 | $97.49 | |
Cigna
| Professional | 26 | $19.48 | $26.42 | $37.38 |
Cigna
| Professional | TC | $20.59 | $28.20 | $62.49 |
Highmark BCBS
| Professional | 26 | $300.35 | $300.35 | $300.35 |
United
| Professional | $35.13 | $47.75 | $112.18 | |
United
| Professional | 26 | $17.50 | $21.88 | $48.14 |
United
| Professional | TC | $16.76 | $25.03 | $64.04 |