| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | 26 | $8.85 | $12.06 | $30.91 |
Aetna
| Professional | TC | $13.83 | $15.59 | $22.05 |
BCBS
| Professional | 26 | $20.30 | $29.02 | $29.02 |
BCBS
| Professional | TC | $30.16 | $37.26 | $43.08 |
Cigna
| Professional | 26 | $28.28 | $36.36 | $52.19 |
Cigna
| Professional | TC | $42.75 | $55.75 | $80.56 |
United
| Professional | 26 | $24.30 | $26.45 | $29.90 |
United
| Professional | TC | $35.95 | $42.14 | $43.83 |