| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.10 | $48.42 | $76.17 | |
Aetna
| Professional | 26 | $18.35 | $21.89 | $28.96 |
Aetna
| Professional | TC | $8.74 | $28.81 | $47.21 |
Cigna
| Professional | $34.63 | $46.18 | $93.00 | |
Cigna
| Professional | 26 | $19.78 | $24.10 | $37.90 |
Cigna
| Professional | TC | $11.64 | $17.30 | $56.85 |
United
| Professional | $26.83 | $41.69 | $108.13 | |
United
| Professional | 26 | $17.35 | $21.98 | $49.74 |
United
| Professional | TC | $9.09 | $22.82 | $58.39 |