| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.55 | $44.65 | $70.52 | |
Aetna
| Professional | 26 | $16.66 | $20.53 | $24.87 |
Aetna
| Professional | TC | $13.19 | $27.86 | $45.65 |
Cigna
| Professional | $44.29 | $48.89 | $85.94 | |
Cigna
| Professional | 26 | $16.88 | $26.31 | $32.69 |
Cigna
| Professional | TC | $18.28 | $24.60 | $54.98 |
United
| Professional | $33.65 | $44.76 | $108.95 | |
United
| Professional | 26 | $15.47 | $20.32 | $47.05 |
United
| Professional | TC | $14.91 | $21.80 | $55.94 |