| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | 26 | $8.85 | $10.48 | $24.62 |
Aetna
| Professional | TC | $13.83 | $16.50 | $35.69 |
Cigna
| Professional | 26 | $23.61 | $29.75 | $42.52 |
Cigna
| Professional | TC | $34.32 | $43.24 | $67.48 |
United
| Professional | 26 | $17.38 | $29.07 | $68.50 |
United
| Professional | TC | $26.58 | $44.55 | $110.30 |