| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $11.29 | $11.29 | $11.29 |
Aetna
| Professional | 26 | $9.17 | $10.48 | $26.13 |
Aetna
| Professional | TC | $14.77 | $15.02 | $36.07 |
Cigna
| Facility | 26 | $28.15 | $28.15 | $28.15 |
Cigna
| Professional | 26 | $22.70 | $34.29 | $86.82 |
Cigna
| Professional | TC | $33.39 | $47.03 | $121.14 |
United
| Professional | 26 | $22.98 | $32.17 | $36.77 |
United
| Professional | TC | $29.99 | $41.99 | $47.98 |