| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | 26 | $9.16 | $10.63 | $10.63 |
Aetna
| Professional | TC | $15.02 | $15.80 | $15.80 |
BCBS
| Professional | 26 | $35.00 | $44.00 | $44.00 |
Cigna
| Professional | 26 | $28.88 | $36.22 | $52.47 |
Cigna
| Professional | TC | $42.56 | $54.17 | $77.56 |