| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.23 | $73.09 | $102.76 | |
Aetna
| Professional | 26 | $33.97 | $41.76 | $50.35 |
Aetna
| Professional | TC | $17.64 | $31.98 | $52.42 |
Cigna
| Professional | $68.38 | $78.43 | $126.03 | |
Cigna
| Professional | 26 | $34.38 | $47.69 | $69.09 |
Cigna
| Professional | TC | $24.36 | $31.14 | $63.11 |
Highmark BCBS
| Professional | $836.11 | $836.11 | $836.11 | |
United
| Professional | $54.40 | $68.50 | $150.69 | |
United
| Professional | 26 | $31.22 | $39.02 | $85.84 |
United
| Professional | TC | $19.73 | $28.52 | $64.86 |